Infección urinaria asociada a sonda vesical. Actualización y recomendaciones intersociedades 2024.

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Title: Infección urinaria asociada a sonda vesical. Actualización y recomendaciones intersociedades 2024.
Authors: Cornistein, Wanda1,2,3,4 (AUTHOR) wandacornistein@gmail.com, Nuccetelli, Yanina2,4,5 (AUTHOR), Rodriguez, Viviana M.2,6 (AUTHOR), Colque, Ángel2,7 (AUTHOR), Chediack, Viviana3,8 (AUTHOR), Flores, Marco3,8 (AUTHOR), Fernández Lausi, Adriana2,9 (AUTHOR), Manzur, Adriana2,10 (AUTHOR), Huaier Arriazu, Emilio F.2,11 (AUTHOR), Cunto, Eleonora3,8 (AUTHOR), Blanco, Miriam3,12 (AUTHOR)
Source: Medicina (Buenos Aires). mar/abr2025, Vol. 85 Issue 2, p348-362. 15p.
Subjects: CATHETER-associated urinary tract infections, URINARY tract infections, COMMUNICABLE diseases, DRUG resistance in bacteria, INFECTION prevention
Abstract (English): Representatives of the Argentine Society of Infectious Diseases (SADI) and the Argentine Society of Intensive Therapy (SATI) issued the present recommendations on diagnosis, treatment, and prevention of catheter associ ated urinary tract infection (CA-UTI). Articles published during 2018-2024 were analyzed in the light of experts' opinion and local data. This document aims to offer basic strategies to optimize the diagnosis based on clinical and microbiological criteria, provide guidance in empirical and targeted antibiotic schemes, and pro mote effective measures to reduce the risk of CA-UTI. The joint work of both societies highlights the expert's concern about the mismanagement of CA-UTI, which is associated with the indiscriminate use of antimicrobi als, and the importance of improving daily practices of CA-UTI management. Through these recommendations, local guidelines are established to optimize the diag nosis, treatment and prevention of CA-UTI in order to reduce morbimortality, days of hospitalization, costs and antibiotic resistance due to the misuse of antimicrobials. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Representantes de la Sociedad Argentina de Infec tología (SADI) y de la Sociedad Argentina de Terapia Intensiva (SATI) acordaron la elaboración de reco mendaciones de diagnóstico, tratamiento y preven ción de la infección del tracto urinario asociada a sonda vesical (ITU-SV). La metodología utilizada fue el análisis de la bibliografía publicada en 2018-2024, complementada con la opinión de expertos y datos epidemiológicos locales. En este documento se pre tende ofrecer herramientas básicas de optimización de diagnóstico en base a criterios clínicos y micro biológicos, orientación en los esquemas antibióticos empíricos y dirigidos, y promover las medidas efec tivas para reducir el riesgo de ITU-SV. Se destaca la preocupación por el control y tratamiento inadecua dos de la ITU-SV, en particular el uso indiscriminado de antimicrobianos y la importancia de garantizar la mejora en las prácticas diarias. Se establecen pautas locales para mejorar la prevención, optimizar el diag nóstico y tratamiento de la ITU-SV, y así disminuir la morbimortalidad, los días de internación, los costos y la resistencia a antibióticos debidos al mal uso de los antimicrobianos. [ABSTRACT FROM AUTHOR]
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