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Assessing risk of UTI amongst elderly in rest care facilities to optimise…
Assessing risk of UTI amongst elderly in rest care facilities to optimise antibiotic therapy
Domain
Urinary Tract Infection (disorder)
SCTID: 68566005
Detected by
Urine Substance Measurement (procedure)
SCTID: 785670005.
Urinalysis
subclassOf
Clinical finding (finding)
SCTID: 404684003
subclassOf
Lower urinary tract symptoms [2] (finding)
SCTID: 307541003
Imaging (procedure)
SCTID: 363679005
subclassOf
Renal Ultrasound [4] Transabdominal ultrasonography of intestine (procedure)
Has_specified_output
Ultrasound scan abnormal (finding)
SCTID: 169255008
Increased Risk Factors
Patient Factors
Demographic
Age
Female
Co-morbidities
Diabetes (disorder)
SCTID: 73211009
Kidney Disease (disorder)
SCTID: 90708001
Immunosuppressive Disease
Inputs
Patient Factors
Symptoms
Lower urinary tract
Upper Urinary Tract
Systemic
Medical History
UTI History
Co-morbidities
Catheterisation
Demographic
Age
Biological Sex
Urinalysis
Nitrites
Luekocytes
Bacteruria
Users
Non-clinical
Phlebotomy Technicians
Patients
Clinical
Rest care nurses
General Practioners
Urologists or Specialists
Processes
1- Auto-retrieval of medical history and demographic
2-Risk Assessment
3- Report generation to GP, lab test referral, treatment recommendation.
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.
4- User Feedback
Healthcare workers provide feedback to the CDSS
Algorithm combines inputs to determine risk as either high or low.
Upon searching NHI and DOB, past medical history integrated using EHR
Outputs
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.
2- Auto-report generation to GP, and lab urinalysis request form for GP approval
Urine Nitrites [2] (procedure)
SCTID:167585009
Has_specified_output
Nitrite detected in urine (finding)
SCTID: 314137006
Bacterial culture [1], urine with colony count (procedure)
SCTID: 104193001
Has_specified_output
Bacteriuria (finding)
SCTID: 61373006
Urine Leukocyte Test [3] (procedure)
SCTID: 394711007
Has_specified_output
Leukocytes in urine (finding)
SCTID: 275741008