My Mom is in an nursing home. She came with an uti. and received her course of antibiotics. Several days later she presented with increase confusion and even forgot who I was. I asked for another urine culture. That was refused. Nursing staff was divided if she was increased in confusion. Several days later she fell out of her chair twice during breakfast and the nurse practicioner said it was dementia. I did request a urine culture and she did get vantin antibiotic. She was less confused.