Skip to main content

Addressing health inequalities in infection and antimicrobial resistant infections: a UK-wide collaborative toolkit

Age

Resources for addressing age-related health inequalities in antimicrobial resistance.

People at different life stages may be disproportionately affected by drug resistant infections due to age related differences in immunity, healthcare access, and patterns of antibiotic use. These are factors that intersectional AMR research identifies as drivers of inequitable AMR exposure and outcomes.

Equality Impact Assessment (EqIA) Toolkit – ARC East Midlands (Version 9),

Summary

Toolkit to integrate equality considerations across the research lifecycle. Includes step by step guidance, templates, action planning and sources of evidence to support inclusive research practice.

Population: Age
Type: Toolkit
Link: Equality Impact Assessment (EqIA) Toolkit
Year: 2025
Available in another language: No
Login required: No

Health Equity Assessment Tool (HEAT)

Summary

Framework and structured assessment tool to help organisations identify, assess and address health inequalities within services and programmes, incorporating equity considerations into planning, delivery and evaluation.

Population: Age
Type: Toolkit
Link: Health Equity Assessment Tool
Year: 2024
Available in another language: No
Login required: No

Urinary tract infection (recurrent): antimicrobial prescribing – National Institute for Health and Care Excellence (NICE) Guideline 112 (NG112)

Summary

Guideline for preventing and managing recurrent urinary tract infections (UTIs) in children, young people and adults without catheters. Includes updated recommendations on methenamine hippurate, oestrogen, referral and prophylaxis.

Population: Age: adults
Type: Guidelines
Link: UTI prescribing
Year: 2024
Available in another language: No
Login required: No

CORE20PLUS5: Reducing healthcare inequalities – NHS England Infographic (adults)

Summary

Infographic summarising the national approach to reducing health inequalities: Core20 (most deprived 20% of the population), PLUS (locally identified underserved groups), and 5 adult clinical priorities (maternity; severe mental illness – physical health; chronic respiratory disease; early cancer diagnosis; hypertension case finding).

Population: Age: adults
Type: Infographic
Link: CORE20PLUS5
Year: 2021
Available in another language: No
Login required: No

Visual Summary: UTI diagnostic flowchart (NICE October 2020 – TARGET version for infants/children under 16)

Summary

Paediatric UTI diagnostic visual summary covering symptom recognition, urgent referral triggers, use/interpretation of dipsticks and culture, and management steps aligned to NICE antimicrobial guidance.

Population: Age: children
Type: Flowchart
Link: UTI diagnostic flowchart
Year: 2020
Available in another language: No
Login required: No

Urinary tract infection (recurrent): antimicrobial prescribing (NICE NG112)

Summary

Guideline for preventing and managing recurrent UTIs in children, young people and adults without catheters. Includes updated recommendations on methenamine hippurate, oestrogen, referral and prophylaxis.

Population: Age: children
Type: Guidelines
Link: Urinary tract infection (recurrent): antimicrobial prescribing
Year: 2024
Available in another language: No
Login required: No

CORE20PLUS5: Children and young people – NHS England infographic

Summary

Infographic applying Core20PLUS5 to children and young people with five priorities: asthma, diabetes, epilepsy, oral health, and mental health. Supports integrated care system (ICS)‑level targeted action to reduce inequalities.

Population: Age: children
Type: Infographic
Link: CORE20PLUS5: Children and young people
Year: 2022
Available in another language: No
Login required: No

Tools for schools – East of England AMR toolkit

Summary

Toolkit for local authorities to run AMR awareness campaigns with children/young people. Includes educator resources, primary/secondary school tools, parent/carer materials.

Population: Age: children
Type: Toolkit
Link: East of England AMR toolkit for schools
Year: 2024
Available in another language: No
Login required: No

Best clinical practise guidance for the use of antibiotics in children: an European Academy of Paediatric Dentistry policy document

Summary

Policy guidance outlining best clinical practice for antibiotic use in children in dental settings, supporting antimicrobial stewardship through appropriate prescribing, dosing and prevention of unnecessary antibiotic use.

Population: Age: children
Type: Guidelines
Link: Best clinical practise guidance for the use of antibiotics in children
Year: 2025
Available in another language: No
Login required: No

Reducing antibiotic prescribing rates in young children in an outpatient primary care setting – a systemwide quality improvement initiative

Summary

System wide quality improvement initiative using educational workshops and audit feedback in primary care to reduce antibiotic prescribing in young children, demonstrating sustained reductions without increased healthcare use.

Population: Age: children
Type: Journal article
Link: See the full article
Year: 2025
Available in another language: No
Login required: No

A qualitative investigation of the acceptability and feasibility of a UTI patient information leaflet for older adults and their carers

Summary

Explores acceptability and feasibility of a UTI leaflet for older adults/carers via interviews and focus groups (n=93). Highlights usefulness for reinforcing messages, barriers to implementation, and suggested improvements (such as terminology, content).

Population: Age: older adults
Type: Journal article
Link: See the full article
Year: 2021
Available in another language: No
Login required: No

Development of an information leaflet and diagnostic flow chart to improve the management of UTIs in older adults: a qualitative study using the Theoretical Domains Framework

Summary

Qualitative work across care homes and general practice informed the creation of an older adult UTI leaflet and a diagnostic flow chart; identifies issues with dipstick use and knowledge gaps around asymptomatic bacteriuria (ASB) and sepsis.

Population: Age: older adults
Type: Journal article
Link: See the full article
Year: 2020
Available in another language: No
Login required: No

Treating Your Infection – urinary tract infection (UTI): TARGET TYI UTI leaflet V23.5

Summary

Patient leaflet for non pregnant women under 65 with suspected lower UTI or recurrent UTI. Covers key symptoms, mimics (sexually transmitted infections /menopause), self care, safety netting, and when antibiotics are indicated to support antimicrobial stewardship (AMS).

Population: Age: older adults
Type: Leaflet
Link: See the full leaflet
Year: 2024
Available in another language: No
Login required: No

Visual Summary: UTI diagnostic flowchart (NICE October 2020 – TARGET version for women under 65)

Summary

Step by step diagnostic pathway for suspected lower UTI in women under 65: exclude vaginal/urethral causes, recognise sepsis/pyelonephritis, assess key symptoms, use dipsticks appropriately, decide on culture and immediate or back up antibiotics with safety netting.

Population: Age: older adults
Type: Flowchart
Link: UTI diagnostic flowchart for women under 65
Year: 2020
Available in another language: No
Login required: No

Urinary Tract Infection (UTI) – Public Health Wales: Infection Prevention and Control Resource Hub

Summary

National hub collating UTI resources for Wales: UTI 9 standards, decision aids for older/frail adults, hydration resources, patient leaflets (EN/CY), catheter care materials, and links to national guidance.

Population: Age: older adults
Type: Online resource
Link: UTIs - Urinary Tract Infections - Public Health Wales
Year: 2024
Available in another language: Yes
Login required: No

Diagnosis of urinary tract infections: quick reference tools for primary care

Summary

Updated quick reference algorithms for women under 65, adults over 65, and catheter associated UTI. Clarifies dipstick use, culture criteria, red flags and stewardship actions aligned to NICE.

Population: Age: older adults
Type: Guidelines
Link: Diagnosis of UTIs: primary care reference tools
Year: 2025
Available in another language: No
Login required: No

TARGET UTI leaflet for older adults (Version 12)

Summary

Easy read leaflet for older adults and carers covering UTI symptoms, prevention (hydration, hygiene), alternative causes of confusion, self care, when to seek help, and AMS messages.

Population: Age: older adults
Type: Leaflet
Link: TARGET UTI leaflet
Year: 2015
Available in another language: No
Login required: No

Core20PLUS5 Framework: Reducing healthcare inequalities among older people

Summary

Adaptation of the Core20PLUS5 framework for older people, identifying PLUS groups locally and 5 priority areas: frailty, dementia, falls prevention / management, multimorbidity and polypharmacy, and end of life care; includes measures of success.

Population: Age: older adults
Type: Infographic
Link: Core20PLUS5 framework for older people
Year: 2025
Available in another language: No
Login required: No