Should Catheters Be Replaced in Patients with UTI?

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Routine catheter replacement does not improve outcomes for hospitalized patients with catheter-associated urinary tract infection (UTI), according to a report in Journal of the American Geriatric Society.

The prospective, observational cohort study included 315 patients who developed a symptomatic UTI after having an indwelling urinary catheter in place for longer than 1 week. The patients, mean age 79.2 years, were being treated in six internal medicine departments and the geriatric department of an Israeli university hospital. Most were residents of a nursing home or other long-term care facility; they had high comorbidity, with a median Charlson score of 3.