Spectrum: Local Antimicrobial Stewardship, for UCLA Health

CAUTI

Patient Stable

Remove or replace catheter in all patients. Removal is preferred.

Initial Empiric Treatment

If catheter removed, consider observation alone

OR

Ertapenem 1 g IV q24H

OR

Ceftriaxone 1 g IV q24H

OR

Ciprofloxacin 500 mg PO BID

or 400 mg IV q12H*

*Avoid in pregnancy and in patients with prior exposure to quinolones

Duration

The duration of treatment has not been well-studied for CAUTI.

Assess the degree of illness, comorbidities, and clinical response to determine duration of therapy.

As a general guide:

  • If the catheter is removed and the patient is not severely ill and has good response to treatment: 5-7 days.

  • If the catheter remains present or the patient is severely ill (e.g. urosepsis) or has pyelonephritis: 7-14 days.