A Case Report of a Stroke Patient Treated with Korean Medicine Diagnosed with a Catheter-associated Urinary Tract Infection Caused by Multidrug-resistant Pseudomonas Aeruginosa

Abstract

This case study reports on the effect of Korean medicine on a catheter-associated urinary tract infection (CAUTI) caused by multidrug-resistant Pseudomonas aeruginosa. An 83-year-old man diagnosed with stroke had dysuria, and it was found that an indwelling urinary catheter led to CAUTI. From laboratory tests, we identified multidrug-resistant Pseudomonas aeruginosa and applied Korean medicine to him. After herbal medication with acupuncture and moxibustion, we studied a urinalysis and urine culture again for follow-up. We found meaningful improvement in bacteriuria and bacterial identification. This case suggests that Korean medicine could have a beneficial effect on urinary tract infections caused by multidrug-resistant Pseudomonas aeruginosa.

A Case Report of <italic>Paljung-san</italic> Treatment of a Patient with a Catheter-Associated Urinary Tract Infection

“…CAUTI에 대한 연구로는 방기복령탕을 사용한 치험례 6 , 마황가출탕 치험례 7 , 유치도뇨관 삽입 이 후 발생한 다제내성 녹농균에 대한 치험례 8 한의학에서 만성 UTI는 배뇨곤란, 소변불통의 증상을 통해 尿濁, 淋證, 癃閉의 범주로 보며, 그 병인으로는 濕熱下注, 氣滯血瘀, 腎虛가 있다 18 . 이 중 "濕熱下注 膀胱滯塞者 治宜 淸熱利濕 通利小 便"이라 하여, 그 대표적 처방이 팔정산이다.…”