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Keywords urinary catheter asymptomatic ...

urinary catheter asymptomatic bacteriuria

https://read.qxmd.com/read/36512427/escherichia-coli-catheter-associated-urinary-tract-infections-are-associated-with-distinctive-virulence-and-biofilm-gene-determinants
#21
JOURNAL ARTICLE
Zongsen Zou, Robert F Potter, William H McCoy Th, John A Wildenthal, George L Katumba, Peter J Mucha, Gautam Dantas, Jeffrey P Henderson
Urinary catheterization facilitates urinary tract colonization by Escherichia coli and increases infection risk. Here we aimed to identify strain-specific characteristics associated with the transition from colonization to infection in catheterized patients. In a single-site study population, we compared E. coli isolates from patients with catheter-associated asymptomatic bacteriuria (CAASB) to those with catheter-associated urinary tract infection (CAUTI). CAUTI isolates were dominated by a phylotype B2 subclade containing the multidrug resistant ST131 lineage relative to CAASB isolates, which were phylogenetically more diverse...
December 13, 2022: JCI Insight
https://read.qxmd.com/read/36498590/the-safety-and-impact-of-raising-the-urine-culture-reporting-threshold-in-hospitalized-patients
#22
JOURNAL ARTICLE
Ohad Gabay, Tal Cherki, Gal Tsaban, Yoav Bichovsky, Lior Nesher
Objective : To assess the impact of changing the reporting threshold policy of positive urine cultures in hospitalized non-pregnant adults from 104 CFU/mL to 105 CFU/mL on the unwarranted use of antibiotics and patient safety. Setting : A 1100-bed tertiary-care hospital in southern Israel. Methods : As an intervention, we changed urine culture reporting policy for patients admitted to general medical wards. If culture grew ≥105 CFU/mL, it was reported with pathogen and antibiotic susceptibility data, if it grew ≤104 CFU/mL, it was reported as "low growth"...
November 27, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/36469780/catheter-associated-urinary-tract-infection-by-pseudomonas-aeruginosa-progresses-through-acute-and-chronic-phases-of-infection
#23
JOURNAL ARTICLE
Solomon A Mekonnen, Nour El Husseini, Asan Turdiev, Jared A Carter, Ashton Trey Belew, Najib M El-Sayed, Vincent T Lee
Healthcare-associated infections are major causes of complications that lead to extended hospital stays and significant medical costs. The use of medical devices, including catheters, increases the risk of bacterial colonization and infection through the presence of a foreign surface. Two outcomes are observed for catheterized patients: catheter-associated asymptomatic bacteriuria and catheter-associated urinary tract infection (CAUTI). However, the relationship between these two events remains unclear. To understand this relationship, we studied a murine model of Pseudomonas aeruginosa CAUTI...
December 13, 2022: Proceedings of the National Academy of Sciences of the United States of America
https://read.qxmd.com/read/36407206/catheter-associated-urinary-tract-infection-cauti
#24
REVIEW
Hodam Rubi, Gargi Mudey, Radha Kunjalwar
One of the most prevalent health-related illnesses globally is catheter-associated urinary tract infection (CAUTI). CAUTIs account for almost half of all hospital-acquired diseases. Most of the healthcare-acquired urinary tract infections result from catheter tubes implantation. These tubes connect a collecting system and the urinary bladder via the urethra. These are known as indwelling urinary catheters. The length of catheterization has a key role in starting bacteriuria since biofilm eventually forms on all of these devices...
October 2022: Curēus
https://read.qxmd.com/read/36308584/the-data-and-the-reality-urine-cultures-and-emergency-medicine-physicians
#25
JOURNAL ARTICLE
Nicolette Rachel Castañeda, Amanda Doodlesack, William Fyfe, Jonathan Edlow, Shamai A Grossman
BACKGROUND AND OBJECTIVES: The IDSA has published guidelines for the treatment of urinary tract infections, recommending limiting treatment to symptomatic patients and pregnant females. Our objective is to elucidate current practice patterns among emergency physicians (EPs) in treating positive urine cultures in various clinical situations. METHODS: This study employed a cross-sectional design utilizing a questionnaire addressing nine common scenarios encountered by EPs in the follow-up of a positive urine culture...
November 2022: Internal and Emergency Medicine
https://read.qxmd.com/read/36261954/purple-urine-bag-syndrome-a-case-report
#26
Sabeel Iftikhar Ahmed, Mir Abdul Waheed, Sara Shah, Syed Yar Muhammad Shah, Hassan Mumtaz
INTRODUCTION: Purple Urine Bag Syndrome (PUBS) is purple discoloration of urine and is common in bedridden patients with long-term urinary catheter. Although typically benign, the purple discoloration is alarming to both the patients and their attendants. CASE REPORT: This case report presents an uncommon case of PUBS in a 74-year-old lady with hypertension, type II diabetes and ischemic stroke from last 2 years. She has neurogenic bladder and has been catheterized from last 2 years...
October 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/36036578/catheter-associated-urinary-tract-infection-an-overview
#27
REVIEW
Rajesh Venkataraman, Umesh Yadav
CAUTIs (catheter-associated urinary tract infections) continue to be one of the most common health-care-related illnesses in the entire globe. CAUTIs are the cause of 40% of all hospital-acquired infections and 80% of all nosocomial urinary tract infections (UTIs). A urine catheter is implanted into a high percentage of inpatients at some point during their hospitalization, and indwelling urinary catheter adoption likely to be on the rise. Urinary catheters, made of plastic materials, inhibit the urinary tract's natural defence mechanisms and enhance the bacterial colonization or biofilm formation on the catheter surface, which may cause CAUTIs...
August 29, 2022: Journal of Basic and Clinical Physiology and Pharmacology
https://read.qxmd.com/read/35980169/treatment-of-asymptomatic-bacteriuria-in-the-first-2-months-after-kidney-transplant-a-controlled-clinical-trial
#28
RANDOMIZED CONTROLLED TRIAL
Mendoza Enciso Emmanuel Antonio, Barajas García Carolina Cassandra, Rodriguez Jimenez Dante Emiliano, Ortiz Lopez Margarita Guadalupe, Reza Escalera Ana Lilian, Tiscareño Gutiérrez María Teresa, Gonzalez Gamez Mario, Rodríguez Correa Gustavo Ivan, Ramos Velazco Mercedes, Chew Wong Alfredo, Reyes Acevedo Rafael, Guerrero Barrera Alma Lilian, Arreola Guerra Jose Manuel
The incidence of urinary tract infections (UTIs) in the first 2 months postrenal transplantation (pRT) is very high. We evaluate the efficacy of asymptomatic bacteriuria (AB) screening and treatment on the incidence of UTI in the first 2 months pRT METHODS: We conducted a randomized controlled clinical trial. A urine culture was obtained in all patients on the day of the bladder catheter removal, on week three, and before removal of the ureteral catheter. The intervention group received treatment for AB. The control group did not receive treatment...
December 2022: Transplant Infectious Disease: An Official Journal of the Transplantation Society
https://read.qxmd.com/read/35858642/ureteral-stent-colonization-and-urinary-tract-infection-in-children-undergoing-minimally-invasive-pyeloplasty
#29
JOURNAL ARTICLE
Amos Neheman, Itay M Sabler, Ilia Beberashvili, Galina Goltsman, Guy Verchovsky, Eyal Kord, Orit Yossepowitch, Amnon Zisman, Kobi Stav
UNLABELLED: Minimally invasive pyeloplasty (MIP), namely laparoscopic and robot-assisted interventions, has gained popularity in recent years. Double-J ureteral stents are frequebtly inserted during surgery. Foreign bodies in the urinary tract are considered as risk factor for developing urinary tract infection (UTI). This study aimed to specify the bacteria cultured from urine and stents responsible for UTI in children with indwelling ureteral stents undergoing MIP. PATIENTS AND METHODS: We retrospectively reviewed medical records of 30 children (22 boys, 8 girls) who had undergone MIP between 2014 and 2017...
July 20, 2022: European Journal of Pediatric Surgery
https://read.qxmd.com/read/35656963/asymptomatic-bacteriuria-persisting-after-catheter-removal-are-we-missing-the-true-catheter-associated-urinary-tract-infection-burden
#30
JOURNAL ARTICLE
Simran, Ujjwala Gaikwad, Sabah Siddiqui
INTRODUCTION: Catheter Associated Asymptomatic Bacteriuria persisting beyond 48 hours after catheter removal predisposes to the development of catheter associated urinary tract infections, necessitating treatment. Current surveillance strategies do not screen for infection detection after catheter removal, missing most of the clinically significant catheter associated urinary tract infection cases. METHODOLOGY: The study reports findings of a pilot, short-term, cross-sectional study conducted on patients who underwent indwelling urinary catheterization for any of the recognized indications...
May 30, 2022: Journal of Infection in Developing Countries
https://read.qxmd.com/read/35459647/postoperative-pseudomonas-aeruginosa-endophthalmitis-associated-with-asymptomatic-bacteriuria
#31
JOURNAL ARTICLE
Melissa Chin, Imran Khan
An 86-year-old man with diabetes and a history of prostate cancer, indwelling urinary catheter and Pseudomonas aeruginosa bacteriuria presented on day 4 post left phacoemulsification cataract extraction and intraocular lens implant with signs and symptoms of postoperative endophthalmitis. Vitreous sample was positive for P. aeruginosa Prompt treatment with intravitreal antibiotics was initiated followed by anterior chamber washout with pars plana vitrectomy; however, the visual outcome was poor.
April 22, 2022: BMJ Case Reports
https://read.qxmd.com/read/35367448/asymptomatic-bacteriuria-prevalence-diagnosis-management-and-current-antimicrobial-stewardship-implementations
#32
REVIEW
Tyler Luu, Fritzie S Albarillo
Asymptomatic bacteriuria is a common clinical condition that often leads to unnecessary treatment. It has been shown that incidence of asymptomatic bacteriuria increases with age and are more prominent in women than men. In older women, the incidence of asymptomatic bacteriuria is recorded to be more than 15%. This number increased up to 50% for those who reside in long-term care facilities. In most scenarios, asymptomatic bacteriuria does not lead to urinary tract infections, and therefore, antibiotic treatment of asymptomatic bacteriuria has not been shown to improve patient outcomes...
August 2022: American Journal of Medicine
https://read.qxmd.com/read/34912489/urinary-tract-infection-investigation-and-treatment-in-older-adults-presenting-to-the-emergency-department-with-confusion-a-health-record-review-of-local-practice-patterns
#33
JOURNAL ARTICLE
Rhiannan A M Pinnell, Tim Ramsay, Han Wang, Pil Joo
Background: The rate of urinary tract infection (UTI) investigation and treatment in confused older emergency department (ED) patients has not been described in the literature. We aim to describe the pattern of practice in an academic tertiary care ED for this common presentation. Methods: A health record review was conducted on 499 adults aged ≥65 presenting to academic EDs with confusion. Exclusion criteria: Glasgow Coma Scale < 13, current treatment for UTI, indwelling catheters, nephrostomy tubes, transfer from another hospital...
December 2021: Canadian Geriatrics Journal: CGJ
https://read.qxmd.com/read/34592566/approach-to-nephrostomy-tubes-in-the-emergency-department
#34
REVIEW
Michael J Yoo, Rachel E Bridwell, Brannon L Inman, Jonathan D Henderson, Brit Long
BACKGROUND: Nephrostomy tubes are commonly placed for urinary obstruction, urinary diversion, or future endourologic procedures. While the technical success of nephrostomy tube placement is high, nephrostomy tube complications may occur. OBJECTIVE OF REVIEW: Limited literature exists regarding the complication of nephrostomy tubes and their approach in the emergency department. This review summarizes the existing literature and provides a framework for emergency providers regarding the evaluation and management of nephrostomy tube complications...
December 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/34543709/bacterial-urine-profile-and-optimal-urine-specimen-collection-timing-in-asymptomatic-chronically-catheterized-adults-with-spinal-cord-injuries-and-disorders
#35
JOURNAL ARTICLE
Felipe Camacho-Cordovez, M Kristi Henzel, Laurie Bauer, Nadim G El Chakhtoura, Kristen Leili, Federico Perez, Jessica A Vida-Clough, Brian Klonowski, Patricia Kiefer, Curtis J Donskey, Maria E Navas
BACKGROUND: Adults with spinal cord injuries and disorders (SCI/D) require chronic indwelling catheterization which is associated with an increased risk of catheter-associated (CA) adverse events. METHODS: We studied urine samples (culture and urinalysis) from 2 cohorts of chronically catheterized males with SCI/D. Cohort 1 included 28 participants; 3 samples per patient were collected (before, after, and 7 days after catheter change). Cohort 2 included 21 participants; 7 samples per patient were collected (before, immediately after, 30 minutes, 1 hour, 1 day, 2 days, and 7 days after catheter change)...
June 2022: American Journal of Infection Control
https://read.qxmd.com/read/34422457/catheter-associated-urinary-tract-infections-in-the-adult-patient-group-a-qualitative-systematic-review-on-the-adopted-preventative-and-interventional-protocols-from-the-literature
#36
REVIEW
Mohamed H Gad, Hesham H AbdelAziz
Catheter-associated urinary tract infections (CA-UTIs) are among the most common nosocomial infections acquired by patients in health care settings. A significant risk factor for CA-UTIs is the duration of catheterization. To summarize the current strategies and interventions in reducing urinary tract infections associated with urinary catheters, use and the need for re-catheterization on the rate of CA-UTIs, we performed a systematic review. A rapid evidence analysis was carried out in the Medline (via Ovid) and the Cochrane Library for the periods of January 2005 till April 2021...
July 2021: Curēus
https://read.qxmd.com/read/34396074/evaluation-and-management-of-neurogenic-bladder-after-spinal-cord-injury-current-practice-among-physical-medicine-and-rehabilitation-specialists-in-turkey
#37
JOURNAL ARTICLE
Yeşim Akkoç, Murat Ersöz, Ece Çınar, Haydar Gök
OBJECTIVES: This study aims to determine the current trends in evaluation and management of neurogenic bladder secondary to spinal cord injury (SCI) among Physical Medicine and Rehabilitation (PMR) specialists in Turkey. MATERIALS AND METHODS: Between September 2013 and November 2013, a total of 100 PMR specialists from 18 different provinces of Turkey were included in the study. A 23-item questionnaire was developed to evaluate the current practice on assessment and follow-up of upper and lower urinary tract dysfunction...
June 2021: Turkish journal of physical medicine and rehabilitation
https://read.qxmd.com/read/34356576/three-year-trend-in-escherichia-coli-antimicrobial-resistance-among-children-s-urine-cultures-in-an-italian-metropolitan-area
#38
JOURNAL ARTICLE
Luca Pierantoni, Laura Andreozzi, Simone Ambretti, Arianna Dondi, Carlotta Biagi, Francesco Baccelli, Marcello Lanari
Urinary tract infections (UTIs) are among the most common bacterial infections in children, and Escherichia coli is the main pathogen responsible. Several guidelines, including the recently updated Italian guidelines, recommend amoxicillin-clavulanic acid (AMC) as a first-line antibiotic therapy in children with febrile UTIs. Given the current increasing rates of antibiotic resistance worldwide, this study aimed to investigate the three-year trend in the resistance rate of E. coli isolated from pediatric urine cultures (UCs) in a metropolitan area of northern Italy...
July 14, 2021: Children
https://read.qxmd.com/read/34223800/a-comparison-of-urethral-catheterization-duration-three-weeks-versus-two-weeks-after-bulbar-urethroplasty
#39
JOURNAL ARTICLE
Marius Joachim Beiske, Henriette Veiby Holm, Ole Jacob Nilsen
OBJECTIVE: To determine the incidence of bacteriuria, urinary tract infections (UTI), and significant extravasation of contrast on initial postoperative pericatheter retrograde urethrogram (pcRUG) after bulbar urethroplasty in relation to duration of urethral catheterization (DUC) of three weeks versus two weeks after surgery. METHODS: Retrospective chart review of 100 bulbar urethroplasty patients between January 2015 and November 2015 were compared with 50 prospective bulbar urethroplasty patients from June 2017 to February 2018 operated at the same university hospital...
August 2021: Scandinavian Journal of Urology
https://read.qxmd.com/read/34112628/hospital-clinical-practice-around-urinalysis-is-an-important-opportunity-for-antimicrobial-stewardship-improvement-activities
#40
JOURNAL ARTICLE
Lyn-Li Lim, Nupur Goyal
BACKGROUND: To identify nurses' knowledge, perception and practice around urinalysis and asymptomatic bacteriuria (ASB) and to determine drivers of inappropriate urinalysis practice in an Australian hospital setting. METHODS: Undertaken in eight geriatric wards over four hospitals, a questionnaire inviting voluntary, anonymous participation tested nursing staff knowledge on urinalysis, recognition of urinary tract infection (UTI) and perception of the utility of urinalysis as a routine test on all ward admissions...
November 2021: Infection, Disease & Health
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