Colonization vs Infection
Asymptomatic patient with positive urine culture. Treat or not?
No treatment because this is asymptomatic bacteriuria/colonization, not an active infection
remove or replace the catheter
Best abx choice in a patient with VRE faecium?
linezolid
Safest opioid in CKD d/t no active metabolites
Fentanyl
Foley with bacteriuria but no fever or pain. Treat or not?
Don't treat. This is again colonization, should replace the foley catheter instead
what does a biofilm on a catheter represent clinically?
why is treating asymptomatic bacteriuria harmful?
increases resistance, c. diff risk, no clinical benefit
NSAID risk most associated with AKI via afferent arteriole constriction?
Ketorolac
when should asymptomatic bacteriuria be treated?
pregnancy and prior to urologic procedures