The Development of a Decision Tool for the Empiric Treatment of Suspected Urinary Tract Infection in Frail Older Adults: A Delphi Consensus Procedure

Nonspecific signs and symptoms combined with positive urinalysis results frequently trigger antibiotic therapy in frail older adults. However, there is limited evidence about which signs and symptoms indicate urinary tract infection (UTI) in this population. We aimed to find consensus among an international expert panel on which signs and symptoms, commonly attributed to UTI, should and should not lead to antibiotic prescribing in frail older adults, and to integrate these findings into a decision tool for the empiric treatment of suspected UTI in this population.

Source: Journal of the American Medical Directors Association - June 14, 2018 Category: Health Management Authors: Laura W. van Buul, Hilde L. Vreeken, Suzanne F. Bradley, Christopher J. Crnich, Paul J. Drinka, Suzanne E. Geerlings, Robin L.P. Jump, Lona Mody, Joseph J. Mylotte, Mark Loeb, David A. Nace, Lindsay E. Nicolle, Philip D. Sloane, Rhonda L. Stuart, P är-Da Tags: Original Study Source Type: research