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Does anyone have any evidence for or against the use of prophylactic antibiotics when inserting or removing a urinary catheter (particularly in a patient that has undergone/will undergo an orthopaedic procedure)? I am struggling to find any specific recommendations with evidence.
Many thanksHayden McDonald
Antimicrobial Stewardship (AMS) Liaison NurseSt Vincents Private Melbourne
59-61 Victoria Parade, Fitzroy Victoria 3065
T +61 3 9411 7449
F +61 3 9411 7669
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Dear Hayden,
The AICA/ASID position statement makes a point on this and details the references if you need to source additional information.
See – http://www.publish.csiro.au/paper/HI11007.htm
The specific point in question is:
“Do not use systemic antimicrobials routinely as prophylaxis in patients requiring either short or long-term catheterisation unless indications exist.2,8 There are studies suggesting the incidence of catheter-associated bacteruria may be reduced by antimicrobial prophylaxis;11,16 however, this protective effect is transient (lasts only a few days) and is associated with the selection of resistant organisms. Prophylaxis is not indicated for patients at low risk for acquired bacteruria and in whom the sequelae of catheter associated infections are infrequent.16”The CDC (HICPAC) guidelines provide additional information on this point as well.
Regards
BrettDr Brett Mitchell
Tasmanian Infection Prevention and Control Unit
Department of Health and Human Services________________________________________
Does anyone have any evidence for or against the use of prophylactic antibiotics when inserting or removing a urinary catheter (particularly in a patient that has undergone/will undergo an orthopaedic procedure)? I am struggling to find any specific recommendations with evidence.
Many thanksHayden McDonald
Antimicrobial Stewardship (AMS) Liaison NurseSt Vincents Private Melbourne
59-61 Victoria Parade, Fitzroy Victoria 3065
T +61 3 9411 7449
F +61 3 9411 7669
http://www.svpm.org.au/Please click to read our disclaimer.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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