indwelling catheters),bacteriuria alone is not indicative of a UTI. Biofilms from along the catheter leading to universal bacteriuria and can include a wide variety of bacteria or yeast species.Symptomatic infection in chronically catheterized residents is often not accompanied by localizing genitourinary findings.When fever is present and localizing symptoms are absent, a diagnosis of UTI is always one of exclusion.Many symptoms may not be from a urinary source, so critical clinical evaluation is essential.Treatment algorithms that limit inappropriate treatment of asymptomatic bacteriuria and avoidance of empiric antimicrobial therapy are recommended.The best prevention for catheter-acquired urinary tract infection is to avoid use of a urinary catheter whenever possible and to remove the catheter promptly when it is no longer indicated.
Catheter-associated UTI are common and carry increased risks of complications and morbidity.The Centers for Disease Control (CDC) has published guidelines for prevention of catheter-associated urinary tract infections.These are listed in Appendix F.
Residents with catheters who develop symptomatic UTIs should be treated for each episode.Urine C&S is necessary to ascertain the infecting organism and the appropriate antimicrobial therapy.Multiple species of bacteria may be found in catheterized residents.Recommended treatment options for catheter-associated UTIs have been extracted from Bugs & Drugs.
Specialist Consultation
Urologic Consultation
Urologic consultation may be required when obstructive uropathy,calculi,abscesses or genitourinary