Chronic indwelling catheter replacement before antimicrobial therapy for symptomatic urinary tract infection

R RAZ, D SCHILLER, LE NICOLLE - The Journal of urology, 2000 - Elsevier
PURPOSE: We determined whether routine replacement of a chronic indwelling catheter
before instituting antimicrobial therapy leads to an improved bacteriological or clinical
outcome when treating symptomatic urinary tract infection in elderly nursing home residents.
MATERIALS AND METHODS: We performed a prospective randomized open clinical trial at
2 long-term care facilities. Patients were randomized to indwelling catheter replacement
before initiating antimicrobial therapy or no replacement. Urine and blood cultures were …