Catheter-Related Urinary Tract Infection: Practical Management in the Elderly.
From 5-10 % of elderly residents of long-term care facilities require chronic indwelling catheters for management of urine voiding. These residents are always bacteriuric, because of biofilm formation along the catheter, and experience increased morbidity associated with urinary tract infection. A w...
| Publicado en: | Drugs & Aging Vol. 31; no. 1; pp. 1 - 11 |
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| Autor principal: | |
| Formato: | algorithm review tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104130910&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104130910 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1170229X C5B jtl: Drugs & Aging issn: 1170229X maglogo: N pubinfo: dt: Jan2014 vid: 31 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104130910 93435247 10.1007/s40266-013-0089-5 NLM24288197 104130910 ppf: 1 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Catheter-Related Urinary Tract Infection: Practical Management in the Elderly. aug: au: Nicolle, Lindsay affil: Department of Internal Medicine and Medical Microbiology, University of Manitoba, Health Sciences Centre, Room GG443, 820 Sherbrook Street Winnipeg R3A 1R9 Canada sug: subj: Urinary Tract Infections, Catheter-Related Therapy Urinary Tract Infections, Catheter-Related Epidemiology Urinary Tract Infections, Catheter-Related Diagnosis Aged United States Urinary Tract Infections, Catheter-Related Microbiology Algorithms Treatment Duration Treatment Outcomes Aged: 65+ years ab: From 5-10 % of elderly residents of long-term care facilities require chronic indwelling catheters for management of urine voiding. These residents are always bacteriuric, because of biofilm formation along the catheter, and experience increased morbidity associated with urinary tract infection. A wide variety of bacteria or yeast species are isolated. Occasional episodes of symptomatic infection may be accompanied by localizing genitourinary findings. However, when fever is present and there are no localizing findings, symptomatic infection is a diagnosis of exclusion. Many of these episodes are not from a urinary source, so critical clinical evaluation is always necessary. A urine specimen for culture should be obtained from patients with symptomatic infection prior to institution of antimicrobial therapy. When the catheter has been present for 2 weeks or longer, it should be replaced and the urine specimen collected through the new catheter. This provides a specimen of bladder urine without biofilm contamination, and catheter replacement also improves clinical outcomes. Treatment algorithms with a goal of limiting inappropriate treatment of asymptomatic bacteriuria have been developed. Empiric antimicrobial therapy should be avoided when possible. Guidelines for prevention of catheter-acquired urinary infection should be followed. The most important of these is to avoid use of a urinary catheter whenever possible and, when there is no longer an indication for the catheter, to remove it promptly. pubtype: Academic Journal doctype: algorithm review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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