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Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help?
Catheter-associated urinary tract infection (CAUTI) is the leading cause of hospital-acquired infections in hospitalized patients in medical and surgical wards, but it is still commonly underdiagnosed in critically ill patients despite a higher device usage rate. The most commonly employed diagnosti...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971646/ https://www.ncbi.nlm.nih.gov/pubmed/29910547 http://dx.doi.org/10.4103/ijccm.IJCCM_434_17 |
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author | Saran, Sai Rao, Namrata S. Azim, Afzal |
author_facet | Saran, Sai Rao, Namrata S. Azim, Afzal |
author_sort | Saran, Sai |
collection | PubMed |
description | Catheter-associated urinary tract infection (CAUTI) is the leading cause of hospital-acquired infections in hospitalized patients in medical and surgical wards, but it is still commonly underdiagnosed in critically ill patients despite a higher device usage rate. The most commonly employed diagnostic criteria for such diagnosis come from the Infectious Disease Society of America and Centers for Disease Control and Prevention National Health Safety Network surveillance definition. It is surprising that no separate diagnostic criteria of CAUTI exist, for the critically ill patients – though these patients are of a different class of patients' altogether, due to decreased immunity, existence on multiple organ supports, and invasive lines, and an inability to communicate with a clinician. In this review, we highlight the difficulties in applying the available guidelines to diagnose CAUTI in critically ill patients. We also suggest an algorithm for the diagnosis of CAUTI in these patients. |
format | Online Article Text |
id | pubmed-5971646 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-59716462018-06-15 Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help? Saran, Sai Rao, Namrata S. Azim, Afzal Indian J Crit Care Med Review Article Catheter-associated urinary tract infection (CAUTI) is the leading cause of hospital-acquired infections in hospitalized patients in medical and surgical wards, but it is still commonly underdiagnosed in critically ill patients despite a higher device usage rate. The most commonly employed diagnostic criteria for such diagnosis come from the Infectious Disease Society of America and Centers for Disease Control and Prevention National Health Safety Network surveillance definition. It is surprising that no separate diagnostic criteria of CAUTI exist, for the critically ill patients – though these patients are of a different class of patients' altogether, due to decreased immunity, existence on multiple organ supports, and invasive lines, and an inability to communicate with a clinician. In this review, we highlight the difficulties in applying the available guidelines to diagnose CAUTI in critically ill patients. We also suggest an algorithm for the diagnosis of CAUTI in these patients. Medknow Publications & Media Pvt Ltd 2018-05 /pmc/articles/PMC5971646/ /pubmed/29910547 http://dx.doi.org/10.4103/ijccm.IJCCM_434_17 Text en Copyright: © 2018 Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Saran, Sai Rao, Namrata S. Azim, Afzal Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help? |
title | Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help? |
title_full | Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help? |
title_fullStr | Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help? |
title_full_unstemmed | Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help? |
title_short | Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help? |
title_sort | diagnosing catheter-associated urinary tract infection in critically ill patients: do the guidelines help? |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5971646/ https://www.ncbi.nlm.nih.gov/pubmed/29910547 http://dx.doi.org/10.4103/ijccm.IJCCM_434_17 |
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