Urinalysis should not be checked simply due to cloudy or odorous urine (Class A recommendation from Infectious Diseases Society of America). This probably represents colonization of the Foley bag, not invasive infection.

Be careful about blaming fever and sepsis on CAUTI. CAUTI is a rare cause of severe illness, so it’s probable that something else is going on (e.g., ventilator-associated pneumonia or line infection).

Prematurely anchoring on the diagnosis of CAUTI could cause another focus of infection to be overlooked.

Lower urinary tract symptoms (e.g., frequency, dysuria) may be due to irritation of the bladder by the catheter itself, rendering them nonspecific and unhelpful.

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