{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T20:41:58Z","timestamp":1757450518978,"version":"3.37.3"},"reference-count":10,"publisher":"American Association of Psychiatric Pharmacists (AAPP)","issue":"2","license":[{"start":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T00:00:00Z","timestamp":1589241600000},"content-version":"vor","delay-in-days":72,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Urinary tract infection (UTI) is considered a common cause of mental status changes, particularly in elderly patients and patients with a psychiatric condition. Genitourinary symptoms are essential to confirm UTI diagnosis but may be unobtainable in patients with a communication barrier. Sparse guidance suggests assessing specific symptoms that do not rely on patient report. The primary objective of this project was to provide assistance in diagnosis and treatment of UTIs in noncommunicative patients through the creation of an algorithm.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Algorithm Creation and Implementation<\/jats:title>\n                  <jats:p>Through extensive interdisciplinary collaboration, the authors developed criteria to identify UTI symptoms that do not require communication. In order to make the algorithm comprehensive, we chose to include general information related to UTI diagnosis and treatment. The algorithm was implemented within the psychiatric emergency department as this is where patients are evaluated to determine need for psychiatric admission. Providers in the psychiatric emergency department were provided with detailed education on the algorithm as well as information about UTI diagnosis and treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Creating an algorithm within our institution required significant interdisciplinary collaboration. Providers were receptive to and appreciative of a comprehensive resource to assist in this difficult clinical situation. The authors plan to study the effects of algorithm implementation, specifically assessing changes in symptom documentation and antibiotic use.<\/jats:p>\n               <\/jats:sec>","DOI":"10.9740\/mhc.2020.03.064","type":"journal-article","created":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T13:57:05Z","timestamp":1585576625000},"page":"64-69","source":"Crossref","is-referenced-by-count":3,"title":["Creation and implementation of a urinary tract infection diagnostic and treatment algorithm for psychiatric inpatients with a communication barrier"],"prefix":"10.9740","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8906-9332","authenticated-orcid":false,"given":"Christine","family":"Rarrick","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2179-2487","authenticated-orcid":false,"given":"Amy","family":"Hebbard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4719","reference":[{"issue":"1","key":"2020060309442810500_i2168-9709-10-2-64-b01","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1111\/igs.12070","article-title":"Challenges in assessing nursing home residents with advanced dementia for suspected urinary tract infections","volume":"61","author":"D'Agata","year":"2013","journal-title":"J Am Geriatr Soc"},{"issue":"10","key":"2020060309442810500_i2168-9709-10-2-64-b02","doi-asserted-by":"publisher","first-page":"e83","DOI":"10.1093\/cid\/ciy1121","article-title":"Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America","volume":"68","author":"Nicolle","year":"2019","journal-title":"Clin Infect Dis"},{"key":"2020060309442810500_i2168-9709-10-2-64-b03","unstructured":"Bonkat\n              G\n            , PickardR, BartolettiR, BruyereF, GeerlingsSE, WagenlehnerF, et al. \n          EAU guidelines on urological infections. Arnhem (the Netherlands): European Association of Urology Guidelines Office;2017. p. 1-64."},{"key":"2020060309442810500_i2168-9709-10-2-64-b04","first-page":"18","article-title":"Urinary incontinence","author":"Department of Health and Human Services (DHHS) Centers for Medicare and Medicaid Services (CMS)","year":"2005","journal-title":"CMS Manual System Pub. 100-07 State Operations Provider Certifications Transmittal 8"},{"issue":"10","key":"2020060309442810500_i2168-9709-10-2-64-b05","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1086\/667743","article-title":"Surveillance definitions of infections in long-term care facilities: revisiting the McGeer criteria","volume":"33","author":"Stone","year":"2012","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"1","key":"2020060309442810500_i2168-9709-10-2-64-b06","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.idc.2013.10.004","article-title":"Diagnosis and management of urinary tract infection in older adults","volume":"28","author":"Rowe","year":"2014","journal-title":"Infect Dis Clin North Am"},{"issue":"1","key":"2020060309442810500_i2168-9709-10-2-64-b07","doi-asserted-by":"publisher","first-page":"17","DOI":"10.2190\/PM.47.1.b","article-title":"Evaluation of urinalyses ordered for diagnosis of urinary tract infections at an inpatient psychiatric hospital","volume":"47","author":"Cogdill","year":"2014","journal-title":"Int J Psychiatry Med"},{"issue":"6","key":"2020060309442810500_i2168-9709-10-2-64-b08","doi-asserted-by":"publisher","first-page":"1644","DOI":"10.1378\/chest.101.6.1644","article-title":"Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis","volume":"101","author":"Bone","year":"1992","journal-title":"Chest"},{"issue":"5","key":"2020060309442810500_i2168-9709-10-2-64-b09","doi-asserted-by":"publisher","first-page":"e103","DOI":"10.1093\/cid\/ciq257","article-title":"International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: a 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases","volume":"52","author":"Gupta","year":"2011","journal-title":"Clin Infect Dis"},{"issue":"1","key":"2020060309442810500_i2168-9709-10-2-64-b10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/0196-6553(91)90154-5","article-title":"Definitions of infection for surveillance in long-term care facilities","volume":"19","author":"McGeer","year":"1991","journal-title":"Am J Infect Control"}],"container-title":["Mental Health Clinician"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/meridian.allenpress.com\/mhc\/article-pdf\/10\/2\/64\/2459058\/mhc_2020_03_064.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/meridian.allenpress.com\/mhc\/article-pdf\/10\/2\/64\/2459058\/mhc_2020_03_064.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T16:19:08Z","timestamp":1731687548000},"score":1,"resource":{"primary":{"URL":"https:\/\/mhc.kglmeridian.com\/view\/journals\/mhcl\/10\/2\/article-p64.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,1]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,3,1]]}},"URL":"https:\/\/doi.org\/10.9740\/mhc.2020.03.064","relation":{},"ISSN":["2168-9709"],"issn-type":[{"type":"electronic","value":"2168-9709"}],"subject":[],"published":{"date-parts":[[2020,3,1]]}}}