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- Title
Health Care--Associated Urinary Tract Infections: Prevention and Management.
- Authors
Beatty, Norman; Al Mohajer, Mayar
- Abstract
Objective:To review management issues regarding health care-associated urinary tract infections (UTIs) commonly encountered by practicing clinicians. Methods: Review of the literature. Results: Because urinary catheter (UC) placement plays a major role in the development of catheter-associated UTIs (CA-UTI), clinicians should be aware of the appropriate and inappropriate uses of UCs and their association with CA-UTI development. Removal of a UC when no longer necessary is key to preventing CA-UTI. Treatment of asymptomatic bacteriuria is generally not indicated. Percutaneous nephrostomy and ureteral stenting need close monitoring, and early removal should be performed if infection is suspected. Candiduria rarely leads to symptoms unless it is related to an ascending process. Proper urine collection is crucial in determining whether contamination, colonization, or infection is present. Fluconazole is recommended in most cases of Candida UTI, while intravenous amphotericin B is recommended for fluconazole-resistant Candida species. Conclusion: Continued use of evidence-based strategies for preventing and managing health care-associated UTI should lead to further improvements in patient outcomes and overall decreased rates of infection.
- Subjects
URINARY tract infection prevention; URINARY tract infection treatment; AMPHOTERICIN B; FLUCONAZOLE; NEUROGENIC bladder; CATHETER-associated urinary tract infections; CANDIDA; CATHETERIZATION; PREVENTION of communicable diseases; CROSS infection; NEPHROSTOMY; RISK management in business; SPINAL cord injuries; SURGICAL stents; URINARY tract infections; ENTEROBACTERIACEAE diseases; MEDICAL device removal; URINARY catheters; DISEASE complications; PREVENTION; THERAPEUTICS; DISEASE risk factors
- Publication
Journal of Clinical Outcomes Management, 2018, Vol 25, Issue 9, p410
- ISSN
1079-6533
- Publication type
Article