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    Home > Active Ingredient News > Urinary System > 【Weekly Doctors】Asymptomatic bacteriuria in patients with long-term indwelling catheterization, what is the most appropriate treatment?

    【Weekly Doctors】Asymptomatic bacteriuria in patients with long-term indwelling catheterization, what is the most appropriate treatment?

    • Last Update: 2021-08-19
    • Source: Internet
    • Author: User
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    【Weekly Medical Questions】is a new online column of "NEJM Medical Frontiers"
    .

    This column is based on NEJM Knowledge+, a sister product of the New England Journal of Medicine.
    It pushes a question every Wednesday and announces the answers and detailed explanations on the next day
    .

    The questions and content seem simple, but they are the core knowledge points and error-prone points of clinical practice; correct answers are not the goal, mastering the main points is the kingly way
    .

    Ask the doctor every week to help you draw up the key points and save you time! Everyone is welcome to leave a message in the comments section
    .

    Your valuable comments and suggestions will be our best help! A 72-year-old woman came to follow-up due to frequent episodes of urinary tract infections.
    She had a history of neurogenic bladder related to multiple sclerosis and had a long-term indwelling suprapubic catheter
    .

    Urine culture was performed 3 days ago, and the results showed that pan-sensitive E.
    coli>100,000 CFU/mL
    .

    The patient denied fever, dysuria, suprapubic discomfort, abdominal pain, and other symptoms
    .

    The suprapubic catheter replacement time is less than one month
    .

    Which of the following treatments is best for the patient? A Nitrofurantoin treatment for 7 days B Amoxicillin treatment for 7 days C Compound sulfamethoxazole-trimethoprim treatment for 14 days D Ciprofloxacin treatment for 3 days E No treatment The answer to the question is actually hidden in the question stem and abstract
    .

    Do you have the answer? If you are not sure, you can share the content with your friends, and the discussion can make people think more clearly
    .

    While answering the questions, please leave a message with your answers and diagnosis and treatment ideas to us
    .

     The answer will be announced tomorrow, and we will see you or leave! Copyright information This article was translated, written or commissioned by the "NEJM Frontiers of Medicine" jointly created by the Jiahui Medical Research and Education Group (J-Med) and the "New England Journal of Medicine" (NEJM)
    .

    The Chinese translation of the full text and the included diagrams are exclusively authorized by the NEJM Group
    .

    If you need to reprint, please leave a message or contact nejmqianyan@nejmqianyan.
    cn
    .

    Unauthorized translation is an infringement, and the copyright owner reserves the right to pursue legal liabilities
    .

    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

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