UTI Prevention and Management in Nursing Home

Topic: Urology
Words: 201 Pages: 10

Introduction: Anatomy of UTI

  • Common catalyst bacteria: Uropathogenic Escherichia coli (UPEC).
  • Catalyst bacteria in CAUTI: UPEC, Gram-positive bacteria, and fungi.

Types of UTI

  • CAUTI.
  • Urethra infection (urethritis).
  • Bladder infection (cystitis) – the most common.
  • Kidney infection (pyelonephritis).
  • Vaginal infection (vaginitis).
  • Bloodstream infection.

Symptoms and Risk Factors


  • Dysuria.
  • Urinary frequency and urgency.
  • Vaginal discharge, odor, itching.
  • Fever.
  • Nausea.
  • Abdominal pain.
  • Rental symptoms.

Risk Factors:

  • Sex (women – higher risk levels).
  • Poor hygiene.
  • History of UTI.
  • Long-term indwelling catheter.
  • Diabetes.
  • Pregnancy.


  • Women >65 – incidence rate higher by 9%.
  • Women are target demographic.
  • Cystitis frequency – 0.5 episodes per year (every woman).
  • > half of UTI cases catalyzed by UPEC (Medina & Castillo-Pino,2019).

Preventive Measures

  • Wipe front to back.
  • Proper hydration.
  • Good hygiene.
  • Avoiding scented products.
  • Urinating before and after sexual intercourse.
  • Changing diapers frequently (for elderly).

Groups of Risk

Nursing home setting:

  • older women.
  • women requiring assistance in performing ADLs.


  • hydration.
  • hygiene.
  • cleaning after bowel movement.
  • timely urination.



  • group education sessions.
  • individual counseling.


  • timely intervention.
  • meaningful participation in residents’ daily life.


  1. UTI is a dangerously common infection
  2. Preventive measures are not complicated
  3. Follow-through of education outcomes through counseling
  4. Women as the most seriously affected demographic


Centers for Disease Control and Prevention [CDC]. (2021). Urinary tract infection. 

Gupta, K., Grigoryan, L., & Trautner, B. (2017). Urinary tract infection. Annals of Internal Medicine, 167(7), ITC49-ITC64.

Klein, R. D., & Hultgren, S. J. (2020). Urinary tract infections: microbial pathogenesis, host–pathogen interactions and new treatment strategies. Nature Reviews Microbiology, 18(4), 211-226.

Medina, M., & Castillo-Pino, E. (2019). An introduction to the epidemiology and burden of urinary tract infections. Therapeutic Advances in Urology, 11.

National Healthcare Safety Network. (2021). Urinary tract infection (catheter-associated urinary tract infection [CAUTI] and non-catheter-associated urinary tract infection [UTI]) events [PDF document].

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Urinary Tract Infection (UTI): Prevalence, Symptoms, and Factors of Risk