T83.5 + (Y84.6+N39.0)
DESCRIPTION
Common organisms: resistant aerobic Gram negative bacteria.
Microbiologic specimen: blood culture and MSU/CSU for microscopy and bacterial culture.
In most patients with long-term catheters bacteria cultured on CSU represent colonisation rather than infection – only treat with antibiotics if there are features of sepsis or pyelonephritis.
GENERAL MEASURES
Remove catheter.
MEDICINE TREATMENT
Empiric antibiotic therapy (Duration of therapy 7–14 days):
- Amikacin, IV, 15 mg/kg daily.
OR
If local resistance patterns show low level resistance to ciprofloxacin or culture shows sensitivity:
- Ciprofloxacin, oral, 500 mg 12 hourly.