Este protocolo aborda la infección del tracto urinario inferior en pacientes que tienen una sonda urinaria permanente colocada por más de 2 días consecutivos, con bacteriuria confirmada microbiológicamente y al menos un síntoma o signo asociado.
Deben estar presentes todos los siguientes:
El manejo comienza con una intervención relacionada con el catéter, seguida de terapia antimicrobiana guiada por los resultados del cultivo de orina.
Mejoría clínica con resolución de la fiebre y los síntomas urinarios tras el inicio de los antimicrobianos.
DOI: 10.1053/j.ajkd.2023.08.009
Indwelling catheter in place for more than 2 consecutive days in an inpatient location.
Urine culture with no more than 2 organisms present and 1 organism with bacterium of >105 CFU/mL.
Presence of at least 1 of the following: fever (38 °C), suprapubic tenderness, costovertebral angle pain or tenderness, urinary urgency, urinary frequency, or dysuria.
The treatment for CAUTI includes first discontinuing the indwelling catheter or replacing the catheter (if still needed) if it has been in place for more than 2 weeks.
Antimicrobial therapy should be initiated in patients with suspected CAUTI and tailored to the urine culture results.
A duration of 7 days of antimicrobial therapy is likely sufficient, provided that the patient improves clinically after starting antimicrobials.
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