A person with spinal cord injury performs clean intermittent self-catheterisation. Three surveillance urine cultures over six months grow Escherichia

Question

A person with spinal cord injury performs clean intermittent self-catheterisation. Three surveillance urine cultures over six months grow Escherichia coli, but there is no fever, new incontinence, autonomic dysreflexia, bladder pain or systemic illness. What is the most appropriate management?

Accepted Answer

Do not treat asymptomatic bacteriuria and do not institute routine antibiotic prophylaxis

Answer

Use monthly rotating antibiotics because intermittent catheterisation is a recurrent-UTI indication

Answer

Start continuous low-dose antibiotics until all cultures remain sterile for three months

Answer

Replace intermittent catheterisation with a long-term indwelling catheter to prevent bacteriuria

Answer

Give seven days of antibiotics after every positive surveillance culture

MS – UTI Prevention on ISC — SCE Neurology MCQ

A person with spinal cord injury performs clean intermittent self-catheterisation. Three surveillance urine cultures over six months grow Escherichia coli, but there is no fever, new incontinence, autonomic dysreflexia, bladder pain or systemic illness. What is the most appropriate management?