UTI in presence of urinary catheter

Presentation

Typically present as acute complicated UTI: fevers or rigors without other source, flank pain or CVA tenderness

May occasionally present with acute simple cystitis with no complicated UTI findings: pelvic discomfort, suprapubic tenderness, or acute gross hematuria

Note

Asymptomatic bacteriuria is common in catheterized patients (~100% after 1 month of catheterization)

Culture

Collect urine culture from voided midstream urine if catheter can be discontinued. If catheter cannot be discontinued, collect urine culture from a freshly replaced catheter