Urinary Tract Infection : ( Catheter ) antibiotics

NICE has published a guideline on management of UTIs in people with a urinary catheter. This was published in November 2018 and NICE has reviewed current evidence / experience on this topic and produced this very useful guidance. An easy to use visual is produced here for quick reference

Catheter-associated urinary tract infection ( UTI ) -symptomatic infection of the bladder or kidneys in a person with a urinary catheter NICE guidance suggests that longer the catheter is in place - more likely bacteria will be found in the urine and after 1 month nearly all people will have bacteriuria NICE advice against antibiotic treatment ( as you may note in microscopy results advice ) for asymptomatic bacteriuriaAsymptomatic bacteriuria is defined as the presence of significant levels of bacteria in the urine with no symptoms of UTI

Give advice on self management for eg○ using paracetamol for pain○ drinking enough fluids to avoid dehydration NICE advice removing the catheter - anticipating the difficulties with this recommendations the guidance states○ if this cannot be done changing the catheter as soon as possible in people with catheter-associated UTI if it has been in place for more than 7 days( mnemonic CA-UTI used...