title: Urosepsis in the critical care unit.
abstract: Critical care unit patients show a higher risk of developing a bloodstream infection than ward patients. The urinary tract is the main source of hospital-acquired secondary bloodstream infection. Nosocomial urinary tract infection is promoted by bladder catheterization in the vast majority of cases. Aerobic gram-negative bacilli are the prevalent agents of bloodstream infection secondary to a nosocomial urinary tract infection. Sepsis and septic shock are severe complications of these infections in the critical care patient. Management of patients with a septic process of urinary source calls for the combination of adequate life-supporting care, an appropriate antibiotic therapy, and innovative adjunctive measures. Accurate catheter care is the best measure to adopt for the prevention of urosepsis.
authors.affiliation: Infectious Disease Unit, University of Florence, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Paradisi
authors.forename: G
authors.initials: G
authors.lastname: Corti
authors.forename: V
authors.initials: V
authors.lastname: Mangani
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000517:prevention & control; D003428:Cross Infection / Q000209:etiology*; D006801:Humans; D007362:Intensive Care Units; D007558:Italy; D012307:Risk Factors; D012772:Shock, Septic / Q000209:etiology; D014546:Urinary Catheterization / Q000009:adverse effects*; D014552:Urinary Tract Infections / Q000150:complications* / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents