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Catheter Associated Bacteriuria / Nosocomial UTI:: Pathogenesis
Catheter Associated Bacteriuria / Nosocomial UTI:: Pathogenesis
/ Nosocomial UTI :
Risk Factor:
__________
* female gender
Pathogenesis:
___________
Catheter associated UTI - originate from-
C/f : Asymptomatic;
suprapubic discomfort,fever,chill,flank pain
- Indicate symptomatic UTI
Management :
_________
i) Careful aseptic insertion of Catheter &
maintenance of closed dependant drainage systems is
essential.
* urine c/s
* empirical antibiotic - cover common pathogens
* change of Catheter -if indewelled for prolong
period
* Antibiotic - discontinued after 48 hrs of
resoution of infection.
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A culture should be obtained 24 hrs before
removal .
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Pt should be started on empirical Tx - such as Co-
trimoxazole / FQ just before removal of catheter &
maintained on Tx for 2 days ---> a post therapy
culture should be obtained - 7-8 days later to
confirm eradication of bacteria.