Healthcare/ Catheter-associated UTI

Diagnosis Common Pathogens Drug(s) of First Choice Alternative Drug(s) Comments Expected Duration
Healthcare/ Catheter-associated UTI

Enterobacteriaceae (e.g. E. coli, Proteus)

P. aeruginosa (less common)

Ertapenem

OR

Piperacillin/ tazobactam

For severe beta-lactam allergy:

Aztreonam

WITH OR WITHOUT:

Vancomycin

Criteria: signs and symptoms compatible with a UTI, no other identified source of infection, & ≥ 100,000 cfu of  ≥ 1 bacterial species on urine culture

Pyuria alone is not an indication for treatment.

A negative urinalysis suggests an alternative source of infection.

Remove catheter if possible.

 Switch to oral therapy when susceptibilities known and patient stable
7 days
Clinical Infectious Diseases, Volume 50, Issue 5, 1 March 2010, Pages 625–663, https://doi.org/10.1086/650482