UTI likely - END
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Contact medical/clinical staff to request review of patient/resident
- Assess if retention or sub-acute retention of urine is likely – blocked catheter or distended bladder
- DO NOT use dipstick test in diagnosis of UTI in older people
- Obtain a sample for urine culture and send to Microbiology
- Start antibiotic therapy following local policy or as advised by Microbiology
- If patient has a urinary catheter, remove and replace it. Consider the ongoing need for a long term catheter in consultation with specialists.
- Consider use of analgesia (paracetamol or ibuprofen) to relieve pain
- Consider admission to hospital if patient has fever with chills or new onset hypotension (low blood pressure)
- Review response to treatment daily and if no improvement of symptoms or deterioration, consider admission to hospital or an increased level of care
- Ensure urine culture results are reviewed when available in order to streamline antibiotic therapy