An 86-Year-Old Man Is Hospitalized for a Complicated Hip Fracture

An 86-year-old man is hospitalized for a complicated hip fracture requiring surgical repair following a fall.  His medical problems include prostate cancer, gout, and osteoarthritis.  An indwelling urinary catheter is placed due to initial urinary retention and immobilization following the surgery.  On the eighth day of hospitalization, the patient develops fever and altered mental status.  After evaluation and laboratory testing, a urinary tract infection is diagnosed.  Which of the following is the most effective strategy for preventing this complication?

A) Antibiotic-coated urinary catheter
B) Bladder irrigation
C) Prompt removal of catheter when no longer indicated
D) Prophylactic antibiotics
E) Routine replacement of catheter

Correct Answer:

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