Characteristics of urinary tract infections in different patient subpopulations and depending on the bladder emptying system

Nosocomial urinary tract infection in the intensive care unit: when should Pseudomonas aeruginosa be suspected? Experience of the French national surveillance of nosocomial infections in the intensive care unit, Rea-Raisin

“…Neurogenic bladder, history of prostatic surgery, urinary tract procedures, a foreign body in the urinary tract, chronic corticosteroids and antibiotics during the stay were also found to be associated with the risk of P. aeruginosa UTI [10,13]. Neither antibiotic use during ICU stay nor type of antibiotics at admission was collected in REA‐RAISIN.…”

“…There are few data available concerning predictive factors of P. aeruginosa in the case of nosocomial UTI in the ICU but some patient factors were previously identified [10][11][12][13][14]. This study sought to create patient and ICU profiles associated with the risk of P. aeruginosa UTI.…”

“…According to our results, ICU physicians facing a nosocomial UTI should suspect P. aeruginosa in the case of a male patient, transferred from another ICU with antibiotics at admission and long duration of stay, especially in an ICU with high patient turnover and high rates of P. aeruginosa-infected patients. Neurogenic bladder, history of prostatic surgery, urinary tract procedures, a foreign body in the urinary tract, chronic corticosteroids and antibiotics during the stay were also found to be associated with the risk of P. aeruginosa UTI [10,13]. Neither antibiotic use during ICU stay nor type of antibiotics at admission was collected in REA-RAISIN.…”

“…Neither antibiotic use during ICU stay nor type of antibiotics at admission was collected in REA-RAISIN. Many studies showed selection of P. aeruginosa by antibiotic use [10,11,13]. Imipenem, ciprofloxacin, levofloxacin, piperacillin, tazocillin, broad-spectrum cephalosporins, aminoglycosides and antibiotics inactive against P. aeruginosa were associated with high incidence rates of P. aeruginosa [11,[15][16][17].…”

Síndrome de la Bolsa de Orina Púrpura. Reporte de caso y revisión de la literatura

“…Por otro lado, los pacientes con vejiga neurogénica tienen predisposición para sufrir una pielonefritis complicada por obstrucción o instrumentación 27 principalmente por Enterococcus (E. faecalis) y Pseudomonas spp. (P. aeruginosa, P. mirabilis) 26,27,28 , también en menor proporción K. pneumoniae, y Streptococcus agalactiae 29 . Adicionalmente, se debe tener precaución con las lesiones renales debido al manejo con antibióticos nefrotóxicos 26 .…”