10 Things Urologists Think Hospitalists Should Know
10 Things Urologists Think Hospitalists Should Know
After 72 hours, almost all urine cultures from a catheterized patient are positive. That doesn't mean they all need antibiotics, Dr. Steers says. "Unless the patient's symptomatic, we don't treat until a catheter comes out," he says. "The constant use of antibiotics in somebody with an in-dwelling catheter is creating tremendous problems with resistance and biofilms, etc."
Dr. Steers says hospitalists can be an educational resource for care teams, using the latest infectious disease literature to say, "Hey, this antibiotic should be stopped. You don't need to continue this many days."
"One of the problems we're having with guidelines is every specialty has their own antibiotic prophylaxis guidelines," he adds. "So it can be very confusing for the hospitalist."
8 Practice Good Antibiotic Stewardship
After 72 hours, almost all urine cultures from a catheterized patient are positive. That doesn't mean they all need antibiotics, Dr. Steers says. "Unless the patient's symptomatic, we don't treat until a catheter comes out," he says. "The constant use of antibiotics in somebody with an in-dwelling catheter is creating tremendous problems with resistance and biofilms, etc."
Dr. Steers says hospitalists can be an educational resource for care teams, using the latest infectious disease literature to say, "Hey, this antibiotic should be stopped. You don't need to continue this many days."
"One of the problems we're having with guidelines is every specialty has their own antibiotic prophylaxis guidelines," he adds. "So it can be very confusing for the hospitalist."
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