Assessing risk of UTI amongst elderly in rest care facilities to optimise antibiotic therapy
Domain
Inputs
Users
Processes
Outputs
Non-clinical
Phlebotomy Technicians
1- Auto-retrieval of medical history and demographic
2-Risk Assessment
3- Report generation to GP, lab test referral, treatment recommendation.
Algorithm combines inputs to determine risk as either high or low.
Urinary Tract Infection (disorder)
SCTID: 68566005
Detected by
Urine Nitrites [2] (procedure)
SCTID:167585009
Urine Substance Measurement (procedure)
SCTID: 785670005. Urinalysis
Has_specified_output
Bacterial culture [1], urine with colony count (procedure)
SCTID: 104193001
Has_specified_output
Urine Leukocyte Test [3] (procedure)
SCTID: 394711007
Has_specified_output
Clinical finding (finding)
SCTID: 404684003
Imaging (procedure)
SCTID: 363679005
subclassOf
Increased Risk Factors
Patient Factors
Upon searching NHI and DOB, past medical history integrated using EHR
Report is generated to GP, if patient has not had a urinalysis done which is most likely the case, auto lab referral for urinalysis sent to GP for approval.
Patient Factors
Symptoms
Medical History
Demographic
Clinical
1- Risk Assessment as high or low. EHR status field automatically generated based on risk factors.
3-Comprehensive Treatment plan. Specific antibiotic and dosage, based on patient data, culture results, resistance patterns.
Rest care nurses
General Practioners
Urologists or Specialists
Patients
subclassOf
Renal Ultrasound [4] Transabdominal ultrasonography of intestine (procedure)
subclassOf
Has_specified_output
Nitrite detected in urine (finding)
SCTID: 314137006
Bacteriuria (finding)
SCTID: 61373006
Leukocytes in urine (finding)
SCTID: 275741008
Ultrasound scan abnormal (finding)
SCTID: 169255008
Lower urinary tract symptoms [2] (finding)
SCTID: 307541003
Demographic
UTI History
Co-morbidities
Catheterisation
Lower urinary tract
Upper Urinary Tract
Systemic
Age
Biological Sex
Urinalysis
2- Auto-report generation to GP, and lab urinalysis request form for GP approval
Nitrites
Luekocytes
Bacteruria
4- User Feedback
Co-morbidities
Diabetes (disorder)
SCTID: 73211009
Kidney Disease (disorder)
SCTID: 90708001
Immunosuppressive Disease
Age
Female
Healthcare workers provide feedback to the CDSS