Question 250 · LEK · Urinary tract infections
An 82-year-old patient was transported to the emergency department because of general condition deterioration, decreased blood pressure, delirium. She has been a resident of the nursing home since the stroke that caused hemiparesis. Because of urine incontinence the patient is chronically catheterized. The bag contains cloudy urine. Which of the following is necessary to confirm urosepsis?
- A. increased serum CRP concentration.
- B. increased serum creatinine concentration.
- C. bacteriuria in the urine sampled after catheter replacement.
- D. increased serum procalcitonin concentration.
- E. bacteremia.
Hint
Think about what proves that the urinary tract is the source of sepsis in a long-term catheterised patient and how to obtain a reliable urine sample.
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