UTI: With a Urinary Catheter

UTI: With a Urinary Catheter

Clinical Considerations

In a symptomatic patient, urinalysis (UA) and urine (cx) should be obtained BEFORE giving antibiotics

Positive urine culture (cx) without symptoms = asymptomatic bacteriuria (ASB) regardless of bacterial burden

Presence or degree of pyuria, malodorous, or cloudy urine should not be used to differentiate ASB from CAUTI, or as an indication to collect a urine culture

Collect from catheter port using aseptic technique, NOT from urine collection bag

More Information

  • Have been removed as an empiric treatment due to low rates of E. coli susceptibilities
  • Resistance rates 30-40% at Scripps Hospitals
  1. Hooton TM et al. Practice Guidelines for Treatment of Catheter Associated Urinary Tract Infection. CID 2010;50:625-663.
  2. Nicolle LE et al. Clinical Practice Guidelines for the Management of Asymptomatic Bacteriuria. CID 2019;68(1):383-75.