All positive Urine Cultures in a catheterised patient do not require antibiotic therapy

There is a difference between shedding of bacteria in urine (bacteriuria) and actual urine infection.

In a catheterised patient, mere presence of bacteria in urine which is shown as a positive urine culture report without any urinary symptoms or change in urinary symptoms is usually not infection. After catheterisation the probability of getting positive urine culture increases by 10% every day. In effect, …

Clean Intermittent Self catheterisation (CISC/CIC/ISC)

Self catheterisation to empty their own bladders is the truth for so many patients dealing with neurogenic bladder conditions and many other types of voiding dysfunctions (conditions where one is either unable to pass urine or it is not safe for him/her to pass urine on his/her own). According to estimates more than 50 adult men and women of every 1 lakh population may be doing so. This is the only way to maintain  safe storage of urine in many high risk neurogenic bladders ( covered in my earlier blog) or where the bladders have no reflexes and power to expel urine (atonic bladders).