GuidelinesOther guideline
Community Acquired non-S.aureus Bacteraemia Urinary Source
Infection Community acquired non-S.aureus bacteraemia URINARY SOURCE Brief outline/clinical setting Urosepsis is the clinical evidence of severe infection of the urogenital tract with features consistent with systemic inflammation. Culture mandatory: Asymptomatic bacteriuria should not be treated except in pregnancy. Urosepsis in patients from long-term care facilities are NOT regarded as communi
| Infection | Community acquired non-S.aureus bacteraemia URINARY SOURCE |
|---|---|
| Brief outline/clinical setting | Urosepsis is the clinical evidence of severe infection of the urogenital tract with features consistent with systemic inflammation. Culture mandatory: Asymptomatic bacteriuria should not be treated except in pregnancy. Urosepsis in patients from long-term care facilities are NOT regarded as community- acquired |
| Aetiologies/organisms | Enterobacterales (E. coli, K. pneumoniae, Enterobacter spp., ) Proteus spp, S. saprophyticus, Group B streptococcus, Enterococcus spp. |
| Optimal antimicrobial selection | Amoxicillin- clavulanate 1.2g IVI 8hrly |
| Duration | Maximum 72 hrs- culture results should available in order to tailor therapy/alternative diagnosis made |
| Alternative if allergic/not available | Cefuroxime 1.5g IVI 8hrly |
| Rationale | Local epidemiology |
| Level of evidence | Moderate |