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. Author manuscript; available in PMC: 2014 Jan 1.
Published in final edited form as: J Am Geriatr Soc. 2013 Jan;61(1):62–66. doi: 10.1111/jgs.12070

Table 1.

Minimum criteria for initiation of antimicrobials use for a suspected urinary tract infection in nursing home residents with advanced dementia.11

Criteria for initiation of antimicrobials for suspected urinary tract infections
a. No indwelling foley catheter
Acute dysuria OR Fever (a single oral temperature of >100°F (>37.8°C), ii. oral temperatures of >99°F (>37.2°C), repeated ≥2 times, or iii. an increase in temperature of >2°F (>1.1°C) over baseline temperature.).
AND ≥1 of the following:

  • new or worse frequency

  • Urgency

  • Costovertebral tenderness

  • Gross hematuria

  • Suprapubic pain

  • Mental status change1

  • Rigors1

b. Indwelling foley catheter
≥1 of the following:

  • Fever (a single oral temperature of >100°F (>37.8°C), ii. oral temperatures of >99°F (>37.2°C), repeated ≥2 times, or iii. an increase in temperature of >2°F (>1.1°C) over baseline temperature.).

  • Rigors

 3. Change in mental status1
1

At the start of this study, the presence of a mental status change and rigors were added to Society for Healthcare Epidemiology of America endorsed minimum clinical criteria to initiate antimicrobials for suspected urinary tract infections in the general NH population in order to slightly liberalize these criteria for residents with advanced dementia.