In patients with foley or condom catheters, many have asymptomatic bacteriuria. In this retrospective cohort of 280 hospitalized patients with a urinary catheter and positive urine culture (>10,000 cfu), 164 (59%) had no symptoms (fever, urgency, frequency, dysuria, suprapubic tenderness, mental status change, or low BP). Of these, 32% were inappropriately treated with antibiotics. Many inpatients with catheter-associated bacteriuria are asymptomatic, and are being over-treated with antibiotics (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.