Implementing clinical guidelines can help prevent urinary tract infections (UTIs) in long-term care facilities. UTIs are a major cause of infections and hospitalizations for elderly patients and are costly to treat. Guidelines developed based on evidence-based research aim to decrease UTIs by 50% through improved incontinence management, judicious antibiotic use, and other preventive measures. Measuring UTI rates before and after implementing the guidelines can help determine their effectiveness in improving patient outcomes and safety.

1. Implement Clinical Guidelines for the Prevention of UTIs in the Long-Term Care Setting Krystyne Davis RN BSN Roberts Wesleyan College

2. PROBLEM Urinary Tract Infections(UTIs) are the major cause of infections in the long- term care facilities. UTIs are the most common reason for antibiotic therapy. Urinary tract infections accounts for 25% of admissions to the hospital yearly and can cost facilities an astounding thousands of dollars a year in treatment. UTIs have been linked to falls and mortality.

3. PROBLEM CONTINUED UTIs are the most common reason for use of antibiotics in the long-term care setting. Account for 30% of all bacterial infections in the LTC facilities. The most common cause of hospitilazions in adults over 65. The rate of clinical urinary tract infections requiring treatment is 0.1 and 2.4 per 1000 days

4. RISK FACTORS CONTINUED neurogenic bladder benign prostatic hypertrophy diabetes dehydration

5. Risk Factors incontinence management, judicious use of antimicrobials urinary catheters in men and women

6. OBJECTIVE Decrease UTIs in the long-term care settings By 50%

7. CLINICAL GUIDELINES Improve resident outcomes through decreased morbidity and mortality. Optimize the use of testing and laboratory services. reduce the inappropriate prescribing of antibiotics for residents with asymptomatic bacteria. Improve outcomes.

8. EBP RESEARCH Good pernial Care Proper hygiene Cranberries Juice Estrogen Creams Herbs

9. ROGERS DIFFUSION OF CHANGE THEORY Knowledge Persuasion Decision Implementation and Confirmation

10. OUTCOME MEASURE The tool developed to measure the occurrence of UTIs was based on the percentage of UTIs before the implementation of the clinical guide lines and after the implementation of the guideline.

11. SUMMARY Preventing Urinary Tract Infections is important. Provide clinical guidelines based on research Improve outcomes Saftey

12. References REFERENCES Jepson R., Craig J., (2008) Cranberries for preventing urinary tract infections. Cochran Database of systematic Reviews vol-1the frail elderly: Issues for diagnosis and treatment prevention, International Urology and Nephrology 36-3 457-463 Kamal H. (2008) Managing Urinary Tract Infections: Guide for Nursing Home Practictioners, Journal News. Lindsay N. (2001) Preventing Infections in non-Hospital setting: Long-Term Care, Emerging Infectious Disease 7-2 treatment prevention, International Urology and Nephrology 36-3 457-464 Lindsay, N., Thomas Y. (2004) Urinary Tract( 20 infections in long-term care facilities Department of Internal Medicine, Health Sciences Centre, Winnipeg, Ontario, Canada Orr G., (2003) Diffusion of Innovation by Everett Rogers Richards C. (2003) Urinary Tract Infections in the frail elderly: Issues for diagnosis and treatment prevention, International Urology and Nephrology 36-3 457-463 http://www.google.com/search?hl=en&rlz=1T4ADFA_enUS403US403&q=ahrq+guidelines&aq=5&aqi=g10&aql=&oq=ahrq