Table 1 Overview of the UTI toolkit
Module name and sections | Objectives |
|---|---|
Module 1: Overview and rationale | |
 • Overview  • Clinical rationale  • Regulatory rationale | • Provide an overview of the toolkit • Explain why antibiotic stewardship matters from clinical and regulatory perspectives • Educate providers, nursing staff, and family members of residents on appropriate management of UTIs |
Module 2: How to prevent catheter-associated urinary tract infection (CAUTI) | |
 • Background and risk factors  • Appropriate indications for indwelling catheter use  • Indwelling catheter insertion and maintenance | • Provide guidance on appropriate use and management of indwelling urinary catheters • Provide guidance on how to properly collect a urine specimen from resident with a urinary catheter |
Module 3: When to test a urine specimen | |
 • What is a urinary tract infection (UTI)?  • When to submit a urine specimen for testing?  • Case studies  • Suggested educational plan | • Provide guidance on how reliably stratify residents into low and high risk of UTI • Increase nursing staff comfort with communicating assessment findings to providers and making recommendations for actions based on UTI risk • Provide guidance on how to perform active monitoring for residents with a low risk of UTI |
Module 4: When and how to treat a UTI | |
 • When to treat?  • How to treat?  • How to modify? | • Provide the rationale and benefits of active monitoring • Provide guidance on antibiotic selection, dosage, and duration for treating a UTI • Provide rationale and guidance for performing a post-prescribing antibiotic timeout |
Module 5: Organizational tools | |
 • Overview of quality improvement (QI) and how to lead change in the organization  • The importance of tracking and reporting data for organizational QI  • Sustainability of organizational change | • Provide guidance for assembling an improvement team • Provide examples of tools for use in the NH to help change frontline staff and provider behavior • Explain how data tracking and reporting can be used for organizational quality improvement • Discuss sustainability and the importance of developing a sustain plan |