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Do recommend reassessing people with catheter-associated UTI if symptoms worsen at any time, or do not start to improve within 48 hours of taking the antibiotic, taking account of:


NICE

National Institute for Health and Clinical Excellence (NICE)


- other possible diagnoses - any symptoms or signs suggesting a more serious illness or condition, such as sepsis - previous antibiotic use, which may have led to resistant bacteria.

ver más ... 2018

Do recommend, when an antibiotic is given, giving advice, as well as the general advice on self-care, about:


NICE

National Institute for Health and Clinical Excellence (NICE)


possible adverse effects of antibiotics, particularly diarrhoea and nausea seeking medical help if: - symptoms worsen at any time or - symptoms do not start to improve within 48 hours of taking the antibiotic or - the person becomes systemically very unwell.

ver más ... 2018

Do recommend considering removing or, if this cannot be done, changing the catheter as soon as possible in people with a catheter-associated UTI if it has been in place for more than 7 days. Do not ...


NICE

National Institute for Health and Clinical Excellence (NICE)


Obtain a urine sample before antibiotics are taken. Take the sample from the catheter, via a sampling port if provided, and use an aseptic technique (in line with the NICE guideline on healthcare-associated infections): - if the catheter has been changed, obtain the sample from the new catheter. - if the catheter has been removed, obtain a midstream specimen of urine. Send the urine sample for culture and susceptibility testing, noting a suspected catheter-associated infection and any ...

ver más ... 2018

Do recommend giving advice about managing symptoms with self-care to all people with catheter-associated UTI.


NICE

National Institute for Health and Clinical Excellence (NICE)


Be aware that: - a catheter-associated urinary tract infection (UTI) is a symptomatic infection of the bladder or kidneys in a person with a urinary catheter - the longer a catheter is in place, the more likely bacteria will be found in the urine; after 1 month nearly all people have bacteriuria - antibiotic treatment is not routinely needed for asymptomatic bacteriuria in people with a catheter

ver más ... 2018

Do recommend explaining to people diagnosed with Lyme disease that:


NICE

National Institute for Health and Clinical Excellence (NICE)


- Lyme disease is a bacterial infection treated with antibiotics - most people recover completely - prompt antibiotic treatment reduces the risk of further symptoms developing and increases the chance of complete recovery - it may take time to get better, but their symptoms should continue to improve in the months after antibiotic treatment - they may need additional treatment for symptom relief. Tell people who are starting antibiotics for Lyme disease that some people may have a ...

ver más ... 2018