The IMAGINE Project has developed an informative leaflet for relatives of nursing home residents, aiming to reduce urinary tract infections (UTIs) and promote responsible antibiotic use.
Understanding urinary tract infections and their treatment is not just a medical matter — it’s a shared responsibility between nursing home staff, doctors, and relatives. To support this, the IMAGINE Project has created a clear and accessible leaflet for relatives, helping them recognize symptoms, understand treatment options, and play a role in preventing UTIs in their loved ones.
UTIs are common in nursing homes but difficult to diagnose accurately. General symptoms like confusion or changes in urine color can be misleading and may stem from dehydration or side effects of medications, rather than infection. The tool emphasizes that a true UTI diagnosis requires both the presence of bacteria in the urine and specific urinary symptoms — something not always obvious
The tool also addresses the limitations of using urine dipsticks, which often show positive results even when there’s no infection. It explains why antibiotics shouldn’t be prescribed solely based on dipstick results, and why staff may choose to monitor the resident before calling a doctor.
Relatives are encouraged to stay informed and actively involved. Simple actions — like promoting hydration, hand hygiene, or helping with regular toilet use — can significantly reduce the risk of infection. The tool also explains the risks associated with unnecessary antibiotic use, such as side effects and antibiotic resistance, and why cautious prescribing is essential.
By fostering communication between relatives and care staff, this new tool supports safer, more informed decisions and helps preserve the effectiveness of antibiotics for future generations.