Leduc Andrée
Can Nurse. 2014 Oct;110(7):25-30.
Cases of asymptomatic bacteriuria (ASB) in elderly people are often treated with antibiotics, but current guidelines recommend that bacteriuria in seniors not be treated unless it is associated with a urinary tract infection (UTI). Stanford Place Care Campus is a 182-bed complex-care facility in Parksville, B.C., catering primarily to seniors. To increase the accuracy of the clinical diagnosis of UTIs and reduce the treatment of ASB in this facility, the author developed a self-learning package and a clinical pathway to help nurses and other care providers better assess, manage and monitor residents with suspected UTIs. She also provided education sessions for the nursing and support staff. In the year after the new clinical pathway was introduced, the number of treated UTIs decreased, as did the percentage of treated UTIs that had been inadequately assessed (i.e., diagnosed solely on the basis of a dipstick urinalysis).
老年人无症状菌尿（ASB）病例通常使用抗生素治疗，但目前的指南建议，除非与尿路感染（UTI）相关，否则老年人的菌尿不应进行治疗。斯坦福广场护理中心是不列颠哥伦比亚省帕克斯维尔市一家拥有182张床位的综合护理机构，主要服务对象是老年人。为提高该机构尿路感染临床诊断的准确性并减少无症状菌尿的治疗，作者开发了一个自学包和一条临床路径，以帮助护士和其他护理人员更好地评估、管理和监测疑似尿路感染的居民。她还为护理和支持人员提供了培训课程。在引入新的临床路径后的一年里，接受治疗的尿路感染病例数量减少了，评估不充分（即仅根据尿试纸分析诊断）的接受治疗的尿路感染病例百分比也下降了。
