The Curbsiders Internal Medicine Podcast

#402 Don’t Get Caught with a CAUTI

Jul 3, 2023
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INSIGHT

Bacteriuria Requires Catheter-Specific Cutoffs

  • Bacteriuria requires higher pyuria cutoffs when a catheter is present (≥25 WBC/HPF).
  • Catheter-associated bacteriuria can be asymptomatic and differs from symptomatic CAUTI definitions.
ADVICE

Don’t Treat Cloudy Urine Without Symptoms

  • Do not treat cloudy or foul-smelling urine alone without other symptoms or alternative explanations.
  • Investigate dehydration, labs, and other causes before labeling delirium as CAUTI.
INSIGHT

Anatomy And Duration Drive CAUTI Risk

  • Female sex, older age, and prolonged catheterization increase CAUTI risk.
  • Catheters promote biofilm formation and colonization that lead to infection over time.
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