Long-term urinary catheter-associated urinary tract infection (UTI)

This paper reviews the literature on the current management of symptomatic urinary tract infections (UTIs) in those with long-term urinary catheters. Long-term is defined as being in situ for more than 1 month. The discussion refers to published guidelines and relevant clinical trials.As bacteriuria...

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Publicado en:Australian & New Zealand Continence Journal Vol. 11; no. 1; pp. 4 - 9
Autor principal: Paul M
Formato: review Journal Article
Publicado: CSIRO Publishing Autumn2005
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Long-term urinary catheter-associated urinary tract infection (UTI)
      aug:
        au: Paul M
        affil: Microbiologist and Infectious Diseases Physician, Douglas Hanly Moir Pathology, MacQuarie Park, NSW; mpaul@dbm.com.au
      sug:
        subj:
          Urinary Catheterization Adverse Effects
          Urinary Tract Infections, Catheter-Related Etiology
          Antibiotics Therapeutic Use
          Bacterial Colonization
          Urinary Tract Infections, Catheter-Related Diagnosis
          Urinary Tract Infections, Catheter-Related Prevention and Control
          Urinary Tract Infections, Catheter-Related Symptoms
          Urinary Tract Infections, Catheter-Related Therapy
          Urinary Tract Microbiology
      ab: This paper reviews the literature on the current management of symptomatic urinary tract infections (UTIs) in those with long-term urinary catheters. Long-term is defined as being in situ for more than 1 month. The discussion refers to published guidelines and relevant clinical trials.As bacteriuria is universal in people with long-term urinary catheters, diagnosis of symptomatic UTIs is made chiefly by the presence of clinical symptoms, which usually include fever. Urine culture is then performed in order to direct an appropriate antibiotic choice. Urinary catheter change at the time of initiating treatment is likely to lead to earlier clinical improvement, and a more accurate assessment of infecting organisms when a culture is taken via the new catheter. Antibiotic treatment should be for as short a time as possible, 5-7 days, to reduce the selection of resistant microorganisms. Regular catheter change and newer catheter materials have not been proven to reduce the incidence of symptomatic UTIs in those with a long-term urinary catheter in situ.
      pubtype: Academic Journal
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        review
        Journal Article
      ougenre: Article
    language: English
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