{"title":"泌尿科医师治疗导尿管相关性尿路感染的方法","authors":"H. Hotta","doi":"10.4058/jsei.36.83","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":414784,"journal":{"name":"Japanese Journal of Infection Prevention and Control","volume":"11 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Approaches of Urologists Toward Treating Catheter-associated Urinary Tract Infections\",\"authors\":\"H. Hotta\",\"doi\":\"10.4058/jsei.36.83\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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.\",\"PeriodicalId\":414784,\"journal\":{\"name\":\"Japanese Journal of Infection Prevention and Control\",\"volume\":\"11 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-03-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Japanese Journal of Infection Prevention and Control\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4058/jsei.36.83\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japanese Journal of Infection Prevention and Control","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4058/jsei.36.83","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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.