CAUTI

CAUTI, or catheter associated urinary tract infections are the scourge of civilization.

DEFINE, EXPLAIN, VILLIFY

Diagnosis

The history and clinical course of a UTI vary with the patient’s age and the specific diagnosis. No one specific sign or symptom can be used to identify UTI in infants and children. (emed)

S/S:

Labs:

diagnostic studies

age 0 – 2 m/o

age 2 – 24 m/o: UA: pyuria and/or bacteriuria and ≥ 50,000 colony-forming units (CFU) per mL of a uropathogen from the quantitative culture of a properly collected urine specimen.–American Asc of Pediatrics criteria.  A positive Cx from a sterile bag attached to the perineal area has a false-positive rate too high to be suitable for diagnosing UTI; however, a negative culture is strong evidence that UTI is absent.

 

 

UTI Terminolgy

BLAH
blah, blah, blah
BLAH
blah, blah, blah
BLAH
blah, blah, blah
BLAH
blah, blah, blah
BLAH
blah, blah, blah
BLAH
blah, blah, blah
BLAH
blah, blah, blah
BLAH
blah, blah, blah
BLAH
blah, blah, blah
BLAH
blah, blah, blah
BLAH
blah, blah, blah
pyelonephritis
Inflammation of the substance of the kidneys as a result of bacterial infection.

Bacterial infection of the kidneys. Pyelonephritis can be acute or chronic, and it is most often due to the ascent of bacteria from the bladder up the ureters to infect the kidneys. Inflammation of the substance of the kidneys as a result of bacterial infection. medicine net
BLAH
blah, blah, blah
BLAH
blah, blah, blah
UTI
infection in any part of the urinary system — kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra.
BLAH
blah, blah, blah

ADDRESS, REDUCE, ELIMINATE

P&P for Indwelling Urinary Catheters

P&P: Reasons for Placing and Maintaining Urinary Catheter

  • Accurate monitoring of urine output
    • Hemodynamic instability
    • diabetes insipidus
    • cerebral salt wasting syndrome
    • aggressive treatment with diuretics
    • aggressive treatment with fluids
  • Facilitate Bladder Emptying
    • urinary retention – not manageable by other means
    • urinary outlet obstruction – not manageable by other means
    • epidural anesthesia/analgesia
    • medications causing bladder toxicity
    • cystitis risk
  • Difficult or High Value Catheter Placement
    • urinary catheter placed by urology, or surgery
    • history of difficult urethral catheterization
  • Wound Prevention or Wound Healing
    • open sacral or perineal wounds in incontinent patient

RESOURCES

  1. eMedicine: Pediatric UTI
  2. Merck Manual: Introduction to Urinary Tract Infections

Leave a Reply