[Catheter associated urinary tract infection: 2024 update and intersociety recommendations].

IF 0.6 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Medicina-buenos Aires Pub Date : 2025-01-01

Wanda Cornistein, Yanina Nuccetelli, Viviana M Rodriguez, Ángel Colque, Viviana Chediack, Marco Flores, Adriana Fernández Lausi, Adriana Manzur, Emilio F Huaier Arriazu, Eleonora Cunto, Miriam Blanco

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Abstract

Representatives of the Argentine Society of Infectious Diseases (SADI) and the Argentine Society of Intensive Therapy (SATI) issued the present recommendations on diagnosis, treatment, and prevention of catheter associated urinary tract infection (CA-UTI). Articles published during 2018-2024 were analyzed in the light of experts' opinion and local data. This document aims to offer basic strategies to optimize the diagnosis based on clinical and microbiological criteria, provide guidance in empirical and targeted antibiotic schemes, and promote effective measures to reduce the risk of CA-UTI. The joint work of both societies highlights the expert's concern about the mismanagement of CA-UTI, which is associated with the indiscriminate use of antimicrobials, and the importance of improving daily practices of CA-UTI management. Through these recommendations, local guidelines are established to optimize the diagnosis, treatment and prevention of CA-UTI in order to reduce morbimortality, days of hospitalization, costs and antibiotic resistance due to the misuse of antimicrobials.

本刊更多论文

[导尿管相关尿路感染：2024 年更新和学会间建议]。

阿根廷传染病学会（SADI）和阿根廷重症治疗学会（SATI）的代表就导尿管相关性尿路感染（CA-UTI）的诊断、治疗和预防发布了本建议。根据专家意见和当地数据，对 2018-2024 年间发表的文章进行了分析。本文件旨在根据临床和微生物学标准提供优化诊断的基本策略，为经验性和针对性抗生素方案提供指导，并推广降低 CA-UTI 风险的有效措施。两个学会的联合工作凸显了专家们对 CA-UTI 管理不善（与滥用抗菌药物有关）的担忧，以及改善 CA-UTI 日常管理实践的重要性。通过这些建议，制定了地方指南，以优化 CA-UTI 的诊断、治疗和预防，从而减少因滥用抗菌药物而导致的死亡率、住院天数、费用和抗生素耐药性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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