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Definition

Catheter associated urniary tract infection is defined by the presnce of urinary tract infection symptoms or signs in patients with or indewlling, condom or suprapubic catheters with isolation of one or more bacterial strains≥10³cfu/ml from catheter assembeld urine specimen or midstream voiding specimen in patients who had catheter removed in the last 48 hours. And this is applied after exclusion of other possible sources of infection.

Catheter associated UTI signs and symptoms

General signs and symptoms
The new onset or worsening of any of the following :

  • Fever
  • Rigors
  • Altered mental status
  • Malasie or lethargy

After exclusion of alternative diagnosis

Urinary tract specific signs and symptom

  • Flank pain
  • Costcovertebral angel tenderness
  • Acute hematuria
  • Pelvic discomfort

After catheter removal

  • Urgency
  • Frequency
  • Dysuria
  • Suprapubic pain or tenderness

Patients with spinal cord injury

  • Increased spasticity
  • Autonomic dysreflexia
  • Sence of unease