Skip to main content
. Author manuscript; available in PMC: 2013 Feb 15.
Published in final edited form as: Ann Longterm Care. 2012 Apr;20(4):33–38.

Table. Consensus Criteria for Diagnosis of Urinary Tract Infections in Long-Term Care Residents.

Signs and Symptoms McGeer Criteria27 Modified Loeb Criteria28,29

  1. Fevera

  2. Dysuria

  3. Frequency

  4. Urgency

  5. Flank pain

  6. Suprapubic pain

  7. Shaking chills

  8. Gross hematuria

  9. New urinary incontinence

  10. Delirium

  11. Change in urine characterb

  12. Worsening of mental status

  13. Worsening of function status

 Noncatheterized Residents
≥3 signs or symptoms (1 or 7; 2 or 3 or 4;
5 or 6; 11; 9 or 12 or 13)		 Dysuria alone
or
Fever
and
≥1 sign or symptom (2-9)
or
≥2 signs or symptoms (3-9)
Catheterized Residents
≥2 signs or symptoms (1 or 7; 5 or 6; 11;
12 or 13)		 Fever alone
or
≥1 sign or symptom (5, 7, 10)
a

Fever for McGeer criteria are defined as ≥100.4°F (≥38°C), and for the modified Loeb criteria as >100°F (>37.9°C) or a 2.4°F (1.5°C) increase above baseline on at least two occasions over the past 12 hours.

b

Gross hematuria, foul smell, increased sediment, new pyuria, or new microscopic hematuria.