Urinary Catheter Exchange on Admission of Septic Elderly With Permanent Catheter Before Initiation of Antibiotics

In the era of emerging antibiotics resistant microbiology, we look for better outcome in the treatment of infections in the elderly.

We look for guidelines to manage an elderly who has a permanent urinary catheter, admitting to E.R. with Fever/Sepsis.

We assume that exchanging the permanent urinary catheter prior to the Urine Culture sample as well as for initiating antibiotic treatment will improve the outcome of the patients.It could help the day-to-day fight for the proper antibiotics treatment to avoid resistance.

Inclusion Criteria:

• >65 years
• Permanent Urinary Catheter
• FEVER or Septic State

Exclusion Criteria:

• Supra-Pubic Aspiration Catheters
• Septic Shock
• I.V. Antibiotics Initiated before admission