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Catheter-associated problem — DGM MCQ

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HardContinenceCatheter-associated problemDGM

An 89-year-old man has a long-term catheter and becomes febrile with suprapubic pain and new delirium. The catheter has not been changed for eight weeks. Blood pressure is 94/58 mmHg. Current medicines include tamsulosin and paracetamol. What is the most appropriate management?

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Correct answer: E — Urgent assessment for catheter-associated infection and catheter change

Fever, suprapubic pain, delirium and hypotension in a catheterised patient suggest catheter-associated infection requiring urgent assessment and catheter management. Fluids alone, dismissing fever, unmonitored removal and delayed clinic review are unsafe. Catheter bacteriuria is common, but systemic illness changes management.

Reference: NICE catheter-associated UTI guidance