When we find a solution to a problem, naturally we look to the same approach for the next similar challenge. #Antibiotics changed the...

The distal urethra is a residency for #bacteria, mostly commensals, but sometimes potential uropathogens move in. #Catheterisation hygiene cleans the skin around the urethral meatus but does not remove bacteria residing in the distal urethra. Many people have focused time, effort and money on coatings that are supposed to prevent such bacteria surviving #catheter entry into the #bladder. Such a #coating would need to kill the potential pathogens before they are transferred fr

I ask you to start the new year with a fresh look at cystitis and its management. While all the following are true: • The bladder is a soluble waste storage “bin.” • Urine is liquid metabolic waste dross. • Cystitis is a scourge. • Antibiotic stewardship must protect against over-use and • Symptom relief and clinical recovery are treatment goals. These facts haven’t helped us address cystitis recurrences, urosepsis or reduce AMR, so consider these facts, too: • Cystitis trea

From our CMO Professor Scott Glickman Colleagues: In medical and surgical services spanning primary through intensive care, we are dogged by UTI with their acute and long-term complications: treatment failures, recurrences, urosepsis, antimicrobial resistance (AMR) and high costs. Despite continuous improvements in antibiotic stewardship, these problems show little sign of abating. Something else must be involved. Antibiotic overuse and misuse shouldn’t be blamed exclusively