Do you recommend to exchange nephrostomy tubes when a patient is diagnosed with a urinary tract infection in the absence of any overt signs of infection at the exit site?

In particular, in individuals who are know to have their urinary tract colonized with an organism, and they will periodically develop a urinary tract infection, would you exchange the nephrostomy tube, even if they have already demonstrated continued growth of the organism despite switching out the tubes in the past?

Answer from: at Community Practice

This patient has asymptomatic bacteriuria by definition - apparently with occasional symptomatic UTI. I would not change the tube because of the ASB like I would not change a urethral catheter in the setting of ASB. And as noted the patient has already demonstrated continued ASB after changing the t...

Comments

at Providence Infectious Disease Consultants West
Little else to add to Dr. @Hooton's statement.&nbs...

Answer from: at Community Practice

No, unless blood cx pop positive.

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Do you recommend to exchange nephrostomy tubes when a patient is diagnosed with a urinary tract infection in the absence of any overt signs of infection at the exit site?

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