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Community Acquired UTI
Clinical scenario
Infections of the urinary tract are the second most common type of infection in the body. Urinary tract infections (UTIs) account for huge numbers of doctor visits each year. While a common source of infection is catheters, or tubes, placed in the urethra and bladder this audit is not to do with the care of patients who have these precipitating them. Rather it has been designed to reflect the level of care offered to patients who attend the ED with this common minor community acquired illness.
Audit question
Are community aquired UTI's managed appropriately according to best practice criteria?
Method
Retrospective audit
Sample: 30-50 Emergency Department patient records.
Criteria
Inclusions: All patients with the signs and symptoms of UTI aged 16 or over
Exclusions: Patients who have recently have urological surgery, urethral catheterisation or
who have an indwelling urinary catheter, and children under 16.
Audits
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1st August 2012
Results
| Date | Patients | Measured | Results | Standard | Regional avg. |
|---|---|---|---|---|---|
| 01st August 2012 | Patients attending ED with community acquired UTIs | Management of patient according to criteria | MSSU sent if dipstick positive | 100 % | 79 % |
| Documented evidence of follow-up arrangements if organism resistant to prescribed antibiotics | 100 % | 63 % | |||
| Urine stick test for nitrites and leucocytes | 100 % | 34 % | |||
| Patient prescribed appropriate antibiotics (local policy—contact microbiology) | 100 % | 43 % |
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