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Delayed urine sample collection, transportation, leading to Catheter Associated Urinary Tract infection (CAUTI): a case report.

Author(s) Ms. SHIJI POULOSE, Ms. Chinnu Rajan, Ms. Lirbarosa Barrera, Mr. Steven Callaghan, Ms. Kim Sadler
Country Saudi Arabia
Abstract Abstract:
Introduction:
Catheter-Associated Urinary Tract Infections (CAUTIs) are among the most prevalent healthcare-associated infections. This case describes a CAUTI in an ICU with a previously 18-month infection-free record, emphasizing the impact of delays in urine sample processing and catheter management on patient outcomes. Patient Concerns and Clinical Findings: An elderly patient with multiple comorbidities, including diabetes, dementia, and bilateral amputation, developed fever and had a positive urine culture for E. coli following Foley catheter placement during surgery. Initial culture showed 60,000 CFU/mL, and a subsequent culture showed >100,000 CFU/mL, with a fever spike to 39.1°C on day four.
Diagnosis:
Interventions and Outcomes: The diagnosis was catheter-associated UTI based on CDC criteria. Delay in sample transport (up to 9 hours), lack of timely catheter removal, and delayed antibiotic administration contributed to infection progression. The patient’s fever resolved after antibiotic initiation, but the incident highlighted systemic lapses.
Conclusion:
This case underscores the critical role of timely urine specimen handling, proper catheter maintenance, and adherence to infection control protocols in preventing CAUTIs. Even in high-performing ICUs, minor lapses can lead to significant patient morbidity.
Keywords Key Words: CAUTI (Catheter-Associated Urinary Tract Infection) – Diagnosis based on CDC criteria Case Report – Structured clinical analysis of a specific ICU patient scenario Urine Culture Timing – Sampling variable (e.g., delays of 2–9 hours affecting bacterial counts) Sample Handling and Transport – Sampling variable influencing contamination and accuracy Antibiotic Therapy Initiation – Intervention delayed until Day 4 despite clinical signs
Field Medical / Pharmacy
Published In Volume 16, Issue 3, July-September 2025
Published On 2025-09-04
DOI https://doi.org/10.71097/IJSAT.v16.i3.7712
Short DOI https://doi.org/g92nt3
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