Don’t collect a urine culture upon request without first seeking to understand and address resident/substitute decision-maker/family concerns.

If the resident does not meet the minimum criteria for a UTI, provide educational materials about the risks of treating positive urine cultures in the absence of convincing features of infection. Provide resident/substitute decision maker/family with a differential diagnosis and a rationale for the investigations that will help identify the etiology of the symptoms.

Using Antibiotics Wisely in Long-Term Care