Catheter-Associated UTI
Clinical Features of Cystitis
- Burning around the catheter
- Urge to urinate despite passing urine
- Lower abdominal pain
- Cloudy urine
- Haematuria
- Foul smelling urine
- Low grade fevers
Clinical Features of Pyelonephritis
- As with cystitis
- Flank pain
- Nausea / vomiting
- Fevers / systemic features
Pathogenesis of Catheter-Associated UTI
- The catheter acts as a bridge for ascension of bacteria into the bladder
- Residual bladder volume increases risk of infection
- Risk of biofilm creation
Prevention
- Insert catheters only when clinically indicated
- Rationalise the duration of the catheter
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