The Internet Book of Critical Care Podcast IBCC Episode 17 - Community Acquired Urosepsis
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Dec 26, 2018 In this podcast, the hosts discuss the identification, microbiology, and treatment of urosepsis. They cover topics such as the use of urinalysis as a screening test, the significance of source control in community-acquired urosepsis, common bugs and antibiotics for treatment, and the therapeutic role of decompression and source control. They emphasize the importance of good management and focusing therapy based on culture and sensitivities.
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Understanding Urosepsis Pathophysiology
- Urosepsis occurs when bacteria ascend from the bladder to kidneys and spill into the bloodstream, causing severe infection.
- A positive urinalysis indicates infection, but it is not specific as bacteria can be present without sepsis.
Diagnosing Urosepsis Effectively
- Diagnose urosepsis confidently with patient history of urinary symptoms, abnormal urinalysis, and inflammatory signs on kidney imaging.
- Exclude other causes if urinalysis is abnormal without consistent symptoms or imaging findings.
Imaging For Obstruction in Urosepsis
- Obtain imaging for critically ill urosepsis patients to identify possible urinary obstruction.
- Use CT scan with stone protocol or bedside ultrasound based on patient factors and radiation concerns.