Published: 8 March 2018
Author(s): Queralt Jordano, Miriam Molina, Eva Acosta, Mariona Xercavins, Alejandro de la Sierra
Issue: March 2018
Section: Letter to the Editor

Treatment of bacteriuria in the absence of symptoms is not indicated, taking into account the potential complications of therapy, including the increasing incidence of Clostridium difficile infection and the risk of precipitating antibiotic resistance [1]. Previous studies among residents in chronic care facilities, have shown that antimicrobial initiation without meeting clinical criteria is common in patients with a suspected urinary tract infection [2]. The problem is even greater among patients with indwelling catheters because: 1) persons with a catheterized urinary tract acquire bacteriuria at the rate of 3–10% per day, when a closed drainage system is used [3], and 2) the population at risk of receiving a catheter-associated urinary tract infection (CAUTI) diagnosis is likely to be cognitive impaired, which can mask possible associated symptoms.

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What is EFIM?

The principal objectives of EFIM is to promote internal medicine on a scientific educational, ethical and professional level and to support internists in providing better care for patients throughout Europe.

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What is internal medicine?

The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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