Abstract
Urinary tract infection (UTI) is the most common infection in hospitalized adults. Nosocomial UTIs are mainly associated with the use of urinary catheters. Thus, the decision for catheterization should be made carefully and catheters removed in time. In order to prevent unnecessary antibiotic use in patients with urinary catheters correct diagnosis is crucial. Chinolones, broad-spectrum penicillins and third-generation cephalosporins are the mainstay of therapy. Comorbidities should be considered and potential obstructions of urinary flow removed. Economically important are the normally higher prices of i.v. antibiotics compared to oral use.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Bacterial Infections / diagnosis
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Bacterial Infections / etiology
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Bacterial Infections / prevention & control
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Bacterial Infections / therapy
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Cephalosporins / therapeutic use*
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Cross Infection / diagnosis*
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Cross Infection / etiology
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Cross Infection / prevention & control
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Cross Infection / therapy*
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Humans
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Penicillins / therapeutic use*
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Practice Guidelines as Topic
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Practice Patterns, Physicians'
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Urinary Catheterization / adverse effects*
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Urinary Tract Infections / diagnosis*
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Urinary Tract Infections / etiology
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Urinary Tract Infections / prevention & control
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Urinary Tract Infections / therapy*
Substances
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Anti-Bacterial Agents
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Cephalosporins
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Penicillins