泌尿科医师治疗导尿管相关性尿路感染的方法

H. Hotta
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引用次数: 0

摘要

导尿管相关性尿路感染(CAUTI)占医疗相关感染的10%-20%。在预防CAUTI中,重要的是小心插入导尿管,并在拔出导尿管后测量残余尿量。由于缺乏症状,老年人CAUTI的诊断往往难以确定。在使用抗菌药物前,应更换新的导尿管,并一致报告血培养和尿培养数据。应根据CAUTI的严重程度选择抗菌药物治疗。qSOFA分数在评估严重程度时很有用。在本报告中,从泌尿科医生的角度讨论了CAUTI的治疗方法。
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Approaches of Urologists Toward Treating Catheter-associated Urinary Tract Infections
Catheter-associated urinary tract infections (CAUTI) account for 10%-20% of healthcare-associated infections. In the prevention of CAUTI, it is important that the urethral catheter is in-serted carefully, and residual urine is measured after removal of the urethral catheter. It is often difficult to determine the diagnosis of CAUTI in the elderly due to the lack of symptoms. Prior to the administration of an antimicrobial agent, the urethral catheter should be exchanged with a new one, and blood culture and urine culture data should be reported consistently. Treatment with antimicrobial agents should be selected based on the severity of CAUTI. qSOFA scores are useful in evaluating the severity. In this report, approaches to CAUTI are discussed from the urologistsʼ perspective.
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