An 88-year-old woman in residential aged care has had an indwelling urethral catheter for eight months for a neurogenic bladder, and it will be needed indefinitely. Over two days she has become more confused than usual and has new suprapubic discomfort. Her temperature is 37.9°C, she has had no rigors, she is eating and drinking normally and her renal function is normal. A catheter specimen of urine grows Escherichia coli sensitive to trimethoprim, amoxicillin and gentamicin. Which one of the following management plans is most appropriate?
Shared by Mornienmiddle twist
Filed under internal-medicine › nephrology › acute-kidney-and-urinary-tract-conditions › urinary-tract-infections

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