Display options
Cite
Rarrick C, Leschorn H, Hebbard A. Impact of a urinary tract infection diagnostic and treatment algorithm for psychiatric inpatients with a communication barrier. Ment Health Clin. 2020;10(2):55-59doi: 10.9740/mhc.2020.03.055.
Rarrick, C., Leschorn, H., & Hebbard, A. (2020). Impact of a urinary tract infection diagnostic and treatment algorithm for psychiatric inpatients with a communication barrier. The mental health clinician, 10(2), 55-59. https://doi.org/10.9740/mhc.2020.03.055
Rarrick, Christine, et al. "Impact of a urinary tract infection diagnostic and treatment algorithm for psychiatric inpatients with a communication barrier." The mental health clinician vol. 10,2 (2020): 55-59. doi: https://doi.org/10.9740/mhc.2020.03.055
Rarrick C, Leschorn H, Hebbard A. Impact of a urinary tract infection diagnostic and treatment algorithm for psychiatric inpatients with a communication barrier. Ment Health Clin. 2020 Mar 30;10(2):55-59. doi: 10.9740/mhc.2020.03.055. eCollection 2020 Mar. PMID: 32257733; PMCID: PMC7108801.
Copy Download .nbib Format: NLM
Share it on

Ment Health Clin. 2020 Mar 30;10(2):55-59. doi: 10.9740/mhc.2020.03.055. eCollection 2020 Mar.

Impact of a urinary tract infection diagnostic and treatment algorithm for psychiatric inpatients with a communication barrier.

The mental health clinician

Christine Rarrick, Hannah Leschorn, Amy Hebbard

PMID: 32257733 PMCID: PMC7108801 DOI: 10.9740/mhc.2020.03.055

Abstract

INTRODUCTION: Differentiating between a urinary tract infection and asymptomatic bacteriuria is an important distinction to make, especially in noncommunicative patients. An algorithm meant to aid in the diagnosis and treatment of urinary tract infections in this population was implemented within a psychiatric emergency department in January 2019. The primary objective of this project was to assess the impact of the algorithm (the

METHODS: Preintervention outcomes were measured from August 1, 2018, through November 30, 2018, while the postintervention cohort included patients admitted after January 31, 2019 and discharged before June 1, 2019. Adults admitted to psychiatry with a urinalysis ordered in the emergency department and an ICD-10 code representing dementia, delirium, autism spectrum disorder, or intellectual disability were included; pregnant patients were excluded.

RESULTS: The preintervention (n = 56) and postintervention (n = 34) cohorts were well balanced with an average age of 66.5 and 70 years, respectively. Neurocognitive disorder was the diagnosis for inclusion in approximately two-thirds of both groups. Numerically, postalgorithm implementation, symptoms were documented more frequently (20.6% vs 10.7%,

DISCUSSION: The creation and implementation of an algorithm assisting in the diagnosis and treatment of urinary tract infections in noncommunicative patients was associated with a trend toward increased symptom documentation and decreased overall antibiotic use, and significantly increased appropriate antibiotic prescribing.

© 2020 CPNP. The Mental Health Clinician is a publication of the College of Psychiatric and Neurologic Pharmacists.

Keywords: ASB; ASD; ID; UTI; algorithm; anti-bacterial agents; antibiotic; asymptomatic bacteriuria; autism spectrum disorder; cystitis; dementia; inappropriate prescribing; intellectual disability; neurocognitive disorder; pyelonephritis; urinary tract infection

Conflict of interest statement

Disclosures: The authors have no conflicts of interest to disclose.

References

  1. Clin Infect Dis. 2019 May 2;68(10):e83-e110 - PubMed
  2. Infect Dis Clin North Am. 2014 Mar;28(1):75-89 - PubMed
  3. J Hosp Infect. 2016 Jul;93(3):297-303 - PubMed
  4. Am J Infect Control. 2012 Oct;40(8):711-4 - PubMed
  5. J Am Geriatr Soc. 2013 Jan;61(1):62-6 - PubMed
  6. Infect Control Hosp Epidemiol. 2012 Oct;33(10):965-77 - PubMed

Publication Types