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.
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.
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 ...
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
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 ...