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
  • [21] Cost-effectiveness analysis of ceftazidime-avibactam as definitive treatment for treatment of carbapenem-resistant Klebsiella pneumoniae bloodstream infection
    Kong, Wenqiang
    Yang, Xueting
    Shu, Yunfeng
    Li, Shiqin
    Song, Bihui
    Yang, Kun
    FRONTIERS IN PUBLIC HEALTH, 2023, 11
  • [22] Treatment of Donor-derived Carbapenem-resistant Klebsiella pneumoniae Infection after Renal Transplantation with Tigecycline and Extended-infusion Meropenem
    Wang, Zhi-qiang
    Guo, Zhi-liang
    Feng, Hao
    Fu, Cheng
    Zhao, Guang-yuan
    Ma, Ke
    Zhu, Lan
    Chen, Gang
    CURRENT MEDICAL SCIENCE, 2021, 41 (04) : 770 - 776
  • [23] Carbapenem-Resistant Klebsiella pneumoniae Exhibiting Clinically Undetected Colistin Heteroresistance Leads to Treatment Failure in a Murine Model of Infection
    Band, Victor I.
    Satola, Sarah W.
    Burd, Eileen M.
    Farley, Monica M.
    Jacob, Jesse T.
    Weiss, David S.
    MBIO, 2018, 9 (02):
  • [24] Treatment of pediatric central nervous system infection caused by carbapenem-resistant Klebsiella pneumoniae with ceftazidime/avibactam, two cases report and literature review
    Qing, Lu
    Zhang, Haiyang
    Pan, Xin
    Liu, Zhongqiang
    FRONTIERS IN PHARMACOLOGY, 2025, 16
  • [25] Case report: A case of acute postoperative endophthalmitis following penetrating keratoplasty due to carbapenem-resistant Klebsiella Pneumoniae and literature review
    Yuan, Ying
    Liu, Xiaoyuan
    Zhou, Li
    Ding, Wuchun
    Zhang, Liying
    Zheng, Jinhua
    FRONTIERS IN MEDICINE, 2023, 10
  • [26] Effects of preservative fluid associated possible donor-derived carbapenem-resistant Klebsiella Pneumoniae infection on kidney transplantation recipients
    Zhang, Fei
    Zhong, Jinbiao
    Ding, Handong
    Liao, Guiyi
    BMC NEPHROLOGY, 2022, 23 (01)
  • [27] Disseminated organ and tissue infection secondary to carbapenem-resistant Klebsiella pneumoniae bloodstream infection for acute lymphoblastic leukemia treated with ceftazidime-avibactam: Two case reports
    He, Mingxia
    Jiang, Yuxia
    Wu, Haiying
    Xu, Xiaofeng
    Jiang, Huifang
    MEDICINE, 2025, 104 (02) : e41195
  • [28] Knowledge and attitude of doctors and nurses regarding indication for catheterization and prevention of catheter-associated urinary tract infection in a tertiary care hospital
    Jain, Manisha
    Dogra, Vinita
    Mishra, Bibhabati
    Thakur, Archana
    Loomba, Poonam Sood
    INDIAN JOURNAL OF CRITICAL CARE MEDICINE, 2015, 19 (02) : 76 - 81
  • [29] Pharmacodynamic Target Attainment at Infection Site During Treatment of Post-Neurosurgical Ventriculitis Caused by Carbapenem-Resistant Klebsiella pneumoniae with Ceftazidime-Avibactam-Based Regimens: a case report
    Chen, Yinru
    Li, Wanzhen
    Liu, Xiaofen
    Chen, Yan
    Zhang, Jing
    Li, Nanyang
    Yang, Lei
    INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2024, 64 (06)
  • [30] A novel case of Raoultella planticola urinary tract infection in a female: comment on ‘Nosocomial pneumonia caused by carbapenem-resistant Raoultella planticola: a case report and literature review’
    Louie Mar A. Gangcuangco
    Zane K. Saul
    Infection, 2015, 43 : 621 - 622
12345