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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 2007

1st December 2007

1st April 2008

1st August 2008

1st December 2008

1st April 2009

1st August 2009

1st December 2009

1st April 2010

1st August 2010

1st December 2010

1st April 2011

1st August 2011

1st December 2011

1st April 2012

1st August 2012

1st December 2012

Show Results Over Time

Results

 
Date Patients Measured Results Standard Regional avg.
01st April 2008 Patients attending ED with community acquired UTIs Management of patients according to the criteria. MSSU sent if dipstick positive 100 % -
Documented evidence of follow-up arrangements if organism resistant to prescribed antibiotics 100 % -
Urine stick test for nitrites and leucocytes 100 % -
Patient prescribed appropriate antibiotics (local policy—contact microbiology) 100 % -

Comments

Audit Bottom Line

Record created on 31st December 2005 by