Using Antibiotics Wisely in Long-Term Care

Up to 50% of older adults in long-term care (LTC) have bacteria in their urine but do not have a urinary tract infection (UTI). Unnecessary antibiotic use in older adults with asymptomatic bacteriuria can be harmful and lead to serious complications.

To help reduce unnecessary antibiotic use for asymptomatic bacteria, the Using Antibiotics Wisely campaign has developed practice change recommendations and resources for interprofessional teams working in long-term care settings.

Practice Change Recommendations

The following key practice changes have been identified and are intended to reduce unnecessary antibiotic use for asymptomatic bacteriuria in LTC. They are not a substitute for timely individual clinical assessment and management and do not apply to the acutely unwell resident with suspected sepsis.

Key Practice Change Recommendations

Download the PDF version of Key Practice Recommendations to help you optimize your antibiotic prescribing.


Clinician Tools


This handout includes practice change
recommendations to help optimize your
antibiotic prescribing for asymptomatic
bacteriuria in long-term care settings.

A new poster developed for clinical areas
in long-term care. The poster encourages
clinicians to reflect before collecting urine for
suspected UTIs in older adults.


Patient Resources

Additional Resources