Role of Dipstick Testing in the Evaluation of Urinary Tract Infection in Nursing Home Residents

2007 ◽  
Vol 28 (7) ◽  
pp. 889-891 ◽  
Author(s):  
Manisha Juthani-Mehta ◽  
Mary Tinetti ◽  
Eleanor Perrelli ◽  
Virginia Towle ◽  
Vincent Quagliarello

Among 101 nursing home residents with suspected urinary tract infection (UTI), we determined the negative predictive value of dipstick testing for leukocyte esterase and nitrite to be 100% (95% confidence interval, 74%-100%), compared with laboratory evidence of UTI (greater than 10 white blood cells/mm3 on urinalysis and greater than 100,000 colony forming units/mL on urine culture). Nursing home dipstick testing effectively excluded the possibility of UTI.

2017 ◽  
Vol 38 (8) ◽  
pp. 998-1001 ◽  
Author(s):  
Taniece Eure ◽  
Lisa L. LaPlace ◽  
Richard Melchreit ◽  
Meghan Maloney ◽  
Ruth Lynfield ◽  
...  

We assessed the appropriateness of initiating antibiotics in 49 nursing home (NH) residents receiving antibiotics for urinary tract infection (UTI) using 3 published algorithms. Overall, 16 residents (32%) received prophylaxis, and among the 33 receiving treatment, the percentage of appropriate use ranged from 15% to 45%. Opportunities exist for improving UTI antibiotic prescribing in NH.Infect Control Hosp Epidemiol 2017;38:998–1001


JAMA ◽  
2014 ◽  
Vol 312 (16) ◽  
pp. 1687 ◽  
Author(s):  
Manisha Juthani-Mehta ◽  
Ann Datunashvili ◽  
Mary Tinetti

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Lona Mody ◽  
M. Todd Greene ◽  
Jennifer Meddings ◽  
Sarah Krein ◽  
Barbara W. Trautner ◽  
...  

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