
Palliative medicine
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If a catheter must remain in place and signs of UTI are present, the catheter should be replaced and a urine sample collected through the new catheter for culture. Several milliliters of urine should be withdrawn to clear the catheter and discarded prior to obtaining the sample for culture.
Pqlliative possible, catheters should be removed and urine sampled by cystocentesis after an appropriate period of time has passed for the bladder to fill with urine. Less ideal is a sample collected from the urinary catheter prior to removal, in which case positive cultures should ideally be confirmed with a subsequent cystocentesis sample. In all instances, cultures should be quantitative. Treatment is more likely to be successful if the catheter can be removed.
The costbenefit of removing or retaining the catheter should be considered medicibe the context palliative medicine management of palliative medicine UTI link the patient's underlying palliative medicine condition. Treatment should be selected and administered as per recommendations for primary uncomplicated UTI or complicated UTI, as appropriate based on http://www. prior history of UTI and the presence of palliative medicine comorbidities or risk factors.
If the patient has not had recurrent infections, palliative medicine catheter has been removed and no relevant comorbidities are presented as a simple uncomplicated UTI is indicated. Otherwise, patients should be managed as complicated UTIs. Culture and susceptibility testing should always be performed.
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