Nocosomial urinary tract infections

Carlos Pigrau

    Research output: Contribution to journalArticleResearchpeer-review

    25 Citations (Scopus)

    Abstract

    Nosocomial urinary tract infections (UTI) are mainly related to urinary catheterisation. In this paper we review the pathogenic mechanisms, particularly the route by which the microorganisms colonise the urinary tract, their adhesion ability, and their capacity to form biofilms, and are related not only to the microorganism but also to the type of urinary catheter. The aetiology of catheter related UTI is variable, and multiresistant microorganisms are often isolated, making empirical antibiotic therapy complex. Clinical findings are frequently atypical, and its diagnosis is difficult. The therapeutic management of catheter-related UTI should be stratified according to the type of UTI: asymptomatic bacteriuria should not be habitually treated, but patients with septic shock should receive a broad spectrum antibiotic. In this review, the value of the different preventive measures are discussed. © 2013 Elsevier España, S.L.
    Original languageEnglish
    Pages (from-to)614-624
    JournalEnfermedades Infecciosas y Microbiologia Clinica
    Volume31
    Issue number9
    DOIs
    Publication statusPublished - 1 Nov 2013

    Keywords

    • Catheter-related urinary tract infections
    • Nosocomial urinary tract infections
    • Urinary catheterisation

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