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

被引:2
|
作者
Shen, Lihua [1 ]
Wu, Heng [1 ,2 ,3 ]
Chen, Huiying [1 ]
Jiang, Yan [1 ,2 ,3 ]
机构
[1] Zhejiang Univ, Sch Med, Sir Run Run Shaw Hosp, Dept Infect Dis, Hangzhou, Peoples R China
[2] Key Lab Microbial Technol & Bioinformat Zhejiang P, Hangzhou, Peoples R China
[3] Zhejiang Univ, Sch Med, Sir Run Run Shaw Hosp, Reg Med Ctr,Natl Inst Resp Dis, Hangzhou, Peoples R China
来源
FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY | 2022年 / 12卷
关键词
intermittent catheterization; carbapenem-resistant Klebsiella pneumoniae; catheter-associated; urinary tract infection; rehabilitation; ENTEROBACTERIACEAE;
D O I
10.3389/fcimb.2022.1027576
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
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.
引用
收藏
页数:5
相关论文
共 44 条
  • [1] In-Human Multiyear Evolution of Carbapenem-Resistant Klebsiella pneumoniae Causing Chronic Colonization and Intermittent Urinary Tract Infections: A Case Study
    Kalu, Michelle
    Tan, Karen
    Algorri, Marquerita
    Jorth, Peter
    Wong-Beringer, Annie
    MSPHERE, 2022, 7 (03)
  • [2] Bloodstream Infection with Carbapenem-resistant Klebsiella Pneumoniae and Multidrug-resistant Acinetobacter Baumannii:a Case Report
    Hong-min Zhang
    Da-wei Liu
    Xiao-ting Wang
    Yun Long
    Huan Chen
    Chinese Medical Sciences Journal, 2014, 29 (01) : 51 - 54
  • [3] Risk factors and mortality in the Carbapenem-resistant Klebsiella pneumoniae infection: case control study
    Akgul, Fethiye
    Bozkurt, Ilkay
    Sunbul, Mustafa
    Esen, Saban
    Leblebicioglu, Hakan
    PATHOGENS AND GLOBAL HEALTH, 2016, 110 (7-8) : 321 - 325
  • [4] Impact of therapy and strain type on outcomes in urinary tract infections caused by carbapenem-resistant Klebsiella pneumoniae
    van Duin, David
    Cober, Eric
    Richter, Sandra S.
    Perez, Federico
    Kalayjian, Robert C.
    Salata, Robert A.
    Evans, Scott
    Fowler, Vance G., Jr.
    Kaye, Keith S.
    Bonomo, Robert A.
    JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2015, 70 (04) : 1203 - 1211
  • [5] Fecal Microbiota Transplantation as an Effective Treatment for Carbapenem-Resistant Klebsiella pneumoniae Infection in a Renal Transplant Patient
    Wang, Junpeng
    Li, Xin
    Wu, Xiaoqiang
    Wang, Zhiwei
    Wu, Xuan
    Wang, Shanmei
    Jing, Gaopeng
    Yan, Tianzhong
    INFECTION AND DRUG RESISTANCE, 2021, 14 : 1805 - 1811
  • [6] Patient and Microbial Genomic Factors Associated with Carbapenem-Resistant Klebsiella pneumoniae Extraintestinal Colonization and Infection
    Lapp, Zena
    Han, Jennifer H.
    Wiens, Jenna
    Goldstein, Ellie J. C.
    Lautenbach, Ebbing
    Snitkin, Evan S.
    MSYSTEMS, 2021, 6 (02)
  • [7] Community-onset carbapenem-resistant Klebsiella pneumoniae urinary tract infections in infancy following NICU hospitalisation
    Vergadi, Eleni
    Bitsori, Maria
    Maraki, Sofia
    Galanakis, Emmanouil
    JOURNAL OF PEDIATRIC UROLOGY, 2017, 13 (05) : 495.e1 - 495.e6
  • [8] Synergetic Effects of Combined Treatment of Colistin With Meropenem or Amikacin on Carbapenem-Resistant Klebsiella pneumoniae in vitro
    Yu, Lan
    Zhang, Jisheng
    Fu, Yanjun
    Zhao, Yongxin
    Wang, Yong
    Zhao, Jing
    Guo, Yuhang
    Li, Chunjiang
    Zhang, Xiaoli
    FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY, 2019, 9
  • [9] Ceftazidime-Avibactam for the Treatment of Central Nervous System Infection Caused by Pan Drug-Resistant Carbapenem-Resistant Klebsiella Pneumoniae: A Case Report
    Zhang, Yingjie
    Hou, Guokuo
    Zhang, Liping
    Li, Shanshan
    INFECTION AND DRUG RESISTANCE, 2024, 17 : 3501 - 3506
  • [10] Infections caused by carbapenem-resistant Klebsiella pneumoniae with hypermucoviscous phenotype: A case report and literature review
    Arena, Fabio
    De Angelis, Lucia Henrici
    D'Andrea, Marco Maria
    Cannatelli, Antonio
    Fossati, Lucina
    Di Pilato, Vincenzo
    Giani, Tommaso
    Cavallo, Rossana
    Rossolini, Gian Maria
    VIRULENCE, 2017, 8 (08) : 1900 - 1908