Catheter-associated urinary tract infection Quiz: Ace Your Exams
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A 52-year-old man is admitted to the hospital for partial colectomy for resection of localized colorectal cancer. The surgery is completed without complications. In the postoperative period, the patient develops urinary retention, and a urinary catheter is inserted. CT of the abdomen and pelvis shows no surgical complications. Three days later, the patient develops a fever, chills, mild suprapubic pain, and a burning sensation during urinating. The patient has no diarrhea, cough, or shortness of breath. Temperature is 38.5 °C (101.3 °F), blood pressure is 132/77 mmHg, and pulse is 96/min. The lungs are clear to auscultation. There is no evidence of purulent drainage or erythema around the surgical site. There is mild tenderness to palpation of the suprapubic region. Which of the following is the most likely cause of the patient’s symptoms?
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