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Warning-sign checks

Catheter-related UTI: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency medical help for signs of severe infection or sepsis, including:

    • Severe breathlessness or very fast breathing
    • New marked confusion, extreme drowsiness, or difficulty waking
    • Fainting, collapse, or cold and mottled skin
    • Severe weakness with rapidly worsening illness
    • Very little urine along with feeling seriously unwell
    • Severe pain with fever and repeated vomiting
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact your usual healthcare service promptly if you have possible infection symptoms, such as a new fever, chills, lower abdominal pain, side or back pain, or new pain when passing urine after catheter removal.

    You should also get prompt advice if:

    • The catheter stops draining and your bladder feels full or painful
    • Urine repeatedly leaks around the catheter
    • There is new or increasing blood in the urine
    • The catheter falls out
    • Symptoms worsen or do not improve after treatment begins
    • You develop a new medication reaction
  3. 3

    Does any of this apply?

    Book an appointment

    Check that you are following your fluid plan and that the tubing is draining, then seek routine advice if the change continues.

The article also says

A change in urine smell, colour, or cloudiness without other symptoms is usually not an emergency.

Every sign above is quoted from the sofidex article on Catheter-related UTI. If you are not sure, err upward — it is always reasonable to be checked.