Don’t send a urine culture unless the change noted is accompanied by minimum criteria for a UTI (specific for residents with and without catheters). 

Do perform a clinical assessment to identify alternate causes for change in health status including examination of the perineal skin. Do complete a comprehensive delirium workup, if clinically indicated, which may include a urine culture. Do encourage increased fluid intake if urine is concentrated or malodorous. Do document and reassess.

Using Antibiotics Wisely in Long-Term Care