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Long-term Care Facilities Revised McGeer Criteria for Urinary Tract . . . n-catheterized resident or acute confusion in a catheterized resident will often be treated as UTI Howeve isolate is the same as the organism isolated from urine and there is not alternate site of infection In the absence of a clear alternate source of infection, fever or rigors with a positive urine culture result in the
CDC NHSN Surveillance Definitions for Infection criteria contained in this chapter may be necessary for determining whether a positive blood specimen represents a primary bloodstream infection (BSI) or is secondary to a different type of infection (see Appendix B Secondary Bloodstream Infection (BSI) Guide)
Updated McGeer Criteria for Infection Surveillance Tool UTI should be diagnosed when there are localizing genitourinary signs and symptoms and a positive urine culture result A diagnosis of UTI can be made without localizing symptoms if a blood culture isolate is growing the same organism as the urine culture and there is no alternate site of infection
Loeb and McGeer Criteria - MN Dept. of Health Revised McGeer criteria (Stone 2012) are used for retrospectively counting true infections To meet the criteria for definitive infection, more diagnostic information (e g , positive laboratory tests) is often necessary
Revised McGreer Criteria for Infection Surveillance Checklist At least one of the following microbiologic criteria ≥ 105 cfu mL of no more than 2 species of organisms in a voided urine sample ≥ 102 cfu mL of any organism(s) in a specimen collected by an in-and-out catheter
Toolkit 3. Minimum Criteria for Common Infections Toolkit What Is the Minimum Criteria for Common Infections Toolkit and Why Should a Nursing Home Use This Toolkit? Between 25 percent and 75 percent of antibiotic prescriptions in nursing homes do not meet clinical guidelines for prescribing Unnecessary antibiotics can result in side effects and drug-resistant bacteria
LOEB AND REVISED MCGEER CRITERIA Clinical criteria err on the side of caution and recommend empiric treatment for residents with a high likelihood of infection, not just confirmed infections Therefore, these criteria are not appropriate for use retrospectively to count true infections
Tools and Templates for Long Term Care - ASAP Resources developed by Nebraska ASAP are intended for non-commercial educational and quality improvement purposes Please acknowledge Nebraska ASAP when they are used Below is a collection of tools and templates developed for long-term care facilities