Cargando…

A case report: Intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant Klebsiella pneumoniae catheter-associated urinary tract infection

Catheter-related urinary tract infections, especially those caused by multidrug-resistant (MDR) bacteria, are extremely difficult to treat due to limited therapeutic choices. Therefore, removing catheters as soon as possible is pivotal to successful treatment. Herein, we report a case of catheter-re...

Descripción completa

Detalles Bibliográficos
Autores principales: Shen, Lihua, Wu, Heng, Chen, Huiying, Jiang, Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9682002/
https://www.ncbi.nlm.nih.gov/pubmed/36439230
http://dx.doi.org/10.3389/fcimb.2022.1027576
_version_ 1784834749636804608
author Shen, Lihua
Wu, Heng
Chen, Huiying
Jiang, Yan
author_facet Shen, Lihua
Wu, Heng
Chen, Huiying
Jiang, Yan
author_sort Shen, Lihua
collection PubMed
description Catheter-related urinary tract infections, especially those caused by multidrug-resistant (MDR) bacteria, are extremely difficult to treat due to limited therapeutic choices. Therefore, removing catheters as soon as possible is pivotal to successful treatment. Herein, we report a case of catheter-related urinary tract infection caused by carbapenem-resistant Klebsiella pneumoniae (CRKP). Intermittent catheterization was used to reduce biofilm occurrence and exercise bladder function on the basis of an active and adequate anti-infection strategy. Simultaneously, combined with acupuncture treatment and strengthening the patient’s pelvic floor muscle training to improve urinary retention, the catheter was eventually removed to obtain autonomous urination in this patient, and this led to the successful treatment for a CRKP catheter-related urinary tract infection.
format Online
Article
Text
id pubmed-9682002
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-96820022022-11-24 A case report: Intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant Klebsiella pneumoniae catheter-associated urinary tract infection Shen, Lihua Wu, Heng Chen, Huiying Jiang, Yan Front Cell Infect Microbiol Cellular and Infection Microbiology Catheter-related urinary tract infections, especially those caused by multidrug-resistant (MDR) bacteria, are extremely difficult to treat due to limited therapeutic choices. Therefore, removing catheters as soon as possible is pivotal to successful treatment. Herein, we report a case of catheter-related urinary tract infection caused by carbapenem-resistant Klebsiella pneumoniae (CRKP). Intermittent catheterization was used to reduce biofilm occurrence and exercise bladder function on the basis of an active and adequate anti-infection strategy. Simultaneously, combined with acupuncture treatment and strengthening the patient’s pelvic floor muscle training to improve urinary retention, the catheter was eventually removed to obtain autonomous urination in this patient, and this led to the successful treatment for a CRKP catheter-related urinary tract infection. Frontiers Media S.A. 2022-11-09 /pmc/articles/PMC9682002/ /pubmed/36439230 http://dx.doi.org/10.3389/fcimb.2022.1027576 Text en Copyright © 2022 Shen, Wu, Chen and Jiang https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cellular and Infection Microbiology
Shen, Lihua
Wu, Heng
Chen, Huiying
Jiang, Yan
A case report: Intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant Klebsiella pneumoniae catheter-associated urinary tract infection
title A case report: Intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant Klebsiella pneumoniae catheter-associated urinary tract infection
title_full A case report: Intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant Klebsiella pneumoniae catheter-associated urinary tract infection
title_fullStr A case report: Intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant Klebsiella pneumoniae catheter-associated urinary tract infection
title_full_unstemmed A case report: Intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant Klebsiella pneumoniae catheter-associated urinary tract infection
title_short A case report: Intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant Klebsiella pneumoniae catheter-associated urinary tract infection
title_sort case report: intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant klebsiella pneumoniae catheter-associated urinary tract infection
topic Cellular and Infection Microbiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9682002/
https://www.ncbi.nlm.nih.gov/pubmed/36439230
http://dx.doi.org/10.3389/fcimb.2022.1027576
work_keys_str_mv AT shenlihua acasereportintermittentcatheterizationcombinedwithrehabilitationinthetreatmentofcarbapenemresistantklebsiellapneumoniaecatheterassociatedurinarytractinfection
AT wuheng acasereportintermittentcatheterizationcombinedwithrehabilitationinthetreatmentofcarbapenemresistantklebsiellapneumoniaecatheterassociatedurinarytractinfection
AT chenhuiying acasereportintermittentcatheterizationcombinedwithrehabilitationinthetreatmentofcarbapenemresistantklebsiellapneumoniaecatheterassociatedurinarytractinfection
AT jiangyan acasereportintermittentcatheterizationcombinedwithrehabilitationinthetreatmentofcarbapenemresistantklebsiellapneumoniaecatheterassociatedurinarytractinfection
AT shenlihua casereportintermittentcatheterizationcombinedwithrehabilitationinthetreatmentofcarbapenemresistantklebsiellapneumoniaecatheterassociatedurinarytractinfection
AT wuheng casereportintermittentcatheterizationcombinedwithrehabilitationinthetreatmentofcarbapenemresistantklebsiellapneumoniaecatheterassociatedurinarytractinfection
AT chenhuiying casereportintermittentcatheterizationcombinedwithrehabilitationinthetreatmentofcarbapenemresistantklebsiellapneumoniaecatheterassociatedurinarytractinfection
AT jiangyan casereportintermittentcatheterizationcombinedwithrehabilitationinthetreatmentofcarbapenemresistantklebsiellapneumoniaecatheterassociatedurinarytractinfection