Treatment of bacteriuria in the absence of symptoms is not indicated, taking into
account the potential complications of therapy, including the increasing incidence
of Clostridium difficile infection and the risk of precipitating antibiotic resistance [
[1]
]. Previous studies among residents in chronic care facilities, have shown that antimicrobial
initiation without meeting clinical criteria is common in patients with a suspected
urinary tract infection [
[2]
]. The problem is even greater among patients with indwelling catheters because: 1)
persons with a catheterized urinary tract acquire bacteriuria at the rate of 3–10%
per day, when a closed drainage system is used [
[3]
], and 2) the population at risk of receiving a catheter-associated urinary tract
infection (CAUTI) diagnosis is likely to be cognitive impaired, which can mask possible
associated symptoms.Keywords
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References
- Diagnosis, management, and prevention of catheter-associated urinary tract infections.Infect Dis Clin North Am. 2014; 28: 105-119
- Potentially inappropriate treatment of urinary tract infections in two Rhode Island nursing homes.Arch Intern Med. 2011; 171: 438-443
- Factors predisposing to bacteriuria diuring indwelling urethral catheterization.N Engl J Med. 1974; 291: 215-219
- Diagnosis, prevention, and treatment of catheter associated urinary tract infection in adults: 2009 international clinical practice guidelines from the Infectious Diseases Society of America.Clin Infect Dis. 2010; 50: 625-663
- Delirium, a symptom of UTI in the elderly: fact or fable? A systematic review.Can Geriatr J. 2013; 17: 22-26
- Inappropriate tretament of catheter-associated asymptomatic bacteriuria in a tertiary care hospital.Clin Infect Dis. 2009; 48: 1182-1188
Article info
Publication history
Published online: March 08, 2018
Accepted:
March 2,
2018
Received:
March 1,
2018
Identification
Copyright
© 2018 Published by Elsevier B.V. on behalf of European Federation of Internal Medicine.
