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在导管相关尿路感染监测中识别无症状菌尿——超越发热和尿培养阳性。

Recognizing asymptomatic bacteriuria in the surveillance of catheter-associated urinary tract infections-beyond fever and positive urine culture.

作者信息

Mitaka Hayato, Bryson-Cahn Chloe, Estebane Jorge O, Makarewicz Vanessa A, Lynch John B, Chan Jeannie D

机构信息

Division of Allergy & Infectious Diseases, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.

Infection Prevention and Control, Harborview Medical Center, Seattle, WA, USA.

出版信息

Antimicrob Steward Healthc Epidemiol. 2024 Nov 14;4(1):e207. doi: 10.1017/ash.2024.459. eCollection 2024.

Abstract

Among 143 cases of National Healthcare Safety Network (NHSN) catheter-associated urinary tract infections (CAUTI), 40% were considered catheter-associated asymptomatic bacteriuria (CA-ASB), and 18% clinical CAUTI. An alternative source of fever was present in 70% of CA-ASB. NHSN CAUTI may not be an effective metric for tracking hospital-level infection prevention efforts.

摘要

在143例国家医疗安全网络(NHSN)导管相关尿路感染(CAUTI)病例中,40%被认为是导管相关无症状菌尿(CA-ASB),18%为临床CAUTI。70%的CA-ASB存在其他发热源。NHSN CAUTI可能不是追踪医院层面感染预防工作的有效指标。

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