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Catheter‐related Urosepsis in the Elderly: A Prospective Study of Community‐derived Infections
Author(s) -
GLECKMAN RICHARD,
BLAGG NOEL,
HIBERT DEBRA,
HALL ARTHUR,
CROWLEY MONIQUE,
PRITCHARD ANNE,
WARREN WILLIAM
Publication year - 1982
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1982.tb07097.x
Subject(s) - medicine , bacteriuria , urinary system , catheter , prospective cohort study , intensive care medicine , urinary catheterization , antimicrobial , bacteremia , surgery , antibiotics , chemistry , organic chemistry , microbiology and biotechnology , biology
For the period 1979–1980, a prospective study was made of 13 elderly patients with catheter‐related urosepsis, who required hospitalization. Several features appeared to distinguish these patients: (1) a traumatic catheter‐related event invariably preceded the acute symptomatic process, (2) polymicrobic bacteriuria predominated, and (3) the urinary pathogens were often resistant to the antimicrobial agents commonly prescribed for community‐associated symptomatic urinary‐tract infections. A diagnostic and therapeutic approach for these patients is outlined.