A case report: Intermittent catheterization combined with rehabilitation in the treatment of carbapenem-resistant Klebsiella pneumoniae catheter-associated urinary tract infection.

病例报告 ：间歇性导尿联合康复治疗耐碳青霉烯类肺炎克雷伯菌导管相关性尿路感染.

• 影响指数: 6.073
• 发表时间: 2022
• 来源期刊: Front Cell Infect Microbiol
• DOI: 10.3389/fcimb.2022.1027576
• PMID: 36439230
• 文章类型: Case Reports
• 中科院分区: Q2
• 方向: 医学
• 作者列表: Shen L,Wu H,Chen H,Jiang Y

关键词: carbapenem-resistant Klebsiella pneumoniae; catheter-associated; intermittent catheterization; rehabilitation; urinary tract infection

Mesh: Humans; Klebsiella pneumoniae; Carbapenem-Resistant Enterobacteriaceae; Catheter-Related Infections / drug therapy; Catheters; Urinary Tract Infections / therapy; Catheterization; Carbapenems / therapeutic use

Abstract

Catheter-related urinary tract infections, especially those caused by multidrug-resistant (MDR) bacteria, are extremely difficult to treat due to limited therapeutic choices. Therefore, removing catheters as soon as possible is pivotal to successful treatment. Herein, we report a case of catheter-related urinary tract infection caused by carbapenem-resistant Klebsiella pneumoniae (CRKP). Intermittent catheterization was used to reduce biofilm occurrence and exercise bladder function on the basis of an active and adequate anti-infection strategy. Simultaneously, combined with acupuncture treatment and strengthening the patient\'s pelvic floor muscle training to improve urinary retention, the catheter was eventually removed to obtain autonomous urination in this patient, and this led to the successful treatment for a CRKP catheter-related urinary tract infection.

摘要

导管相关尿路感染,尤其是由多药耐药（MDR）细菌引起的，由于治疗选择有限，极难治疗。因此,尽快取出导管是成功治疗的关键。在这里，我们报道一例耐碳青霉烯类肺炎克雷伯菌(CRKP)引起的导尿管相关尿路感染.在积极和充分的抗感染策略的基础上，间歇性导管插入术用于减少生物膜的发生和锻炼膀胱功能。同时,结合针灸治疗和加强患者的盆底肌肉训练，改善尿潴留，最终移除导管以获得该患者的自主排尿，这导致了CRKP导管相关尿路感染的成功治疗。