The diagnosis and management of urinary tract infections (UTIs) among residents of post-acute and long-term care (PALTC) settings remains challenging. Nonspecific symptoms, complex medical conditions, insufficient awareness of diagnostic criteria, and unnecessary urine studies all contribute to the inappropriate diagnosis and treatment of UTIs in PALTC residents. In 2017, the Infection Advisory Subcommittee at AMDA-The Society for Post-Acute and Long-Term Care Medicine convened a workgroup comprised of experts in geriatrics and infectious diseases to review recent literature regarding UTIs in the PALTC population. The workgroup used evidence as well as their collective clinical expertise to develop this consensus statement with the goal of providing comprehensive guidance on the diagnosis, treatment, and prevention of UTIs in PALTC residents. The recommendations acknowledge limitations inherent to providing medical care for frail older adults, practicing within a resource limited setting, and prevention strategies tailored to PALTC populations. In addition, the consensus statement encourages integrating antibiotic stewardship principles into the policies and procedures used by PALTC nursing staff and by prescribing clinicians as they care for residents with a suspected UTI.

中文翻译：

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急性后和长期护理环境中尿路感染的诊断、治疗和预防：来自 AMDA 感染咨询小组委员会的共识声明

急性和长期护理 (PALTC) 环境中居民尿路感染 (UTI) 的诊断和管理仍然具有挑战性。非特异性症状、复杂的医疗条件、对诊断标准的认识不足以及不必要的尿液检查都导致 PALTC 居民 UTI 的诊断和治疗不当。2017 年，AMDA 感染咨询小组委员会（急性后和长期护理医学协会）召集了一个由老年病学和传染病专家组成的工作组，以审查有关 PARTC 人群中 UTI 的最新文献。该工作组利用证据以及他们的集体临床专业知识制定了这份共识声明，目的是为 PALTC 居民 UTI 的诊断、治疗和预防提供全面指导。这些建议承认为虚弱的老年人提供医疗服务、在资源有限的环境中实践以及针对 paltc 人群量身定制的预防策略所固有的局限性。此外，该共识声明鼓励将抗生素管理原则纳入 paltc 护理人员使用的政策和程序中，并为临床医生开具处方，因为他们照顾疑似 UTI 的居民。