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proLékaře.cz / Journals / Journal of Czech Physicians / 2022 - 7-8

Permanent urethral catheter – a good servant, but bad master: Guidelines for prevention, diagnosis, and treatment of catheter-associated urinary tract infections

Czech version

Authors: Vladimír Šámal 1,2;  Jan Krhut 3;  Roman Zachoval 4;  Michaela Matoušková 5;  Miloš Bro Ák 1
Authors‘ workplace: Urologická klinika LF UK a FN Hradec Králové 1;  Urologické oddělení, Krajská nemocnice Liberec, a. s. 2;  Urologická klinika LF OU a FN Ostrava 3;  Urologická klinika FTN a 3. LF UK v Praze 4;  Urocentrum Praha, s. r. o. 5
Published in: Čas. Lék. čes. 2022; 161: 303-308
Category: Guidelines

Overview

Catheter-associated urinary tract infections (CAUTI) are among the most common healthcare-associated infections, which increase morbidity, mortality, prolong the length of hospitalization and have a significant impact on the cost of treatment.

The most efficient preventive method is removing catheters as soon as possible and avoid unnecessary catheterizations. Treatment of asymptomatic bacteriuria is not recommended. In cases of serious CAUTI, vigorous antibiotic therapy covering multidrug-resistant uropathogens should be initiated.

These recommendations are intended for all medical specialties to improve the care of patients with indwelling catheters in the prevention, diagnosis, and treatment of CAUTI in primary care and subsequent long-term care.

Keywords:

urinary tract infection – dysfunction of lower urinary tract – catheter-associated urinary tract infections – permanent urethral catheter – intermittent catheterization

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