17th May 2025

A 93-year-old male with long-term catheter was brought in by his carer after finding him agitated and having problems walking.

A 93-year-old male with long-term catheter was brought in by his carer after finding him agitated and having problems walking. He has had urinary incontinence for a period of time following his recent haemorrhagic stroke, but there are no signs of dysuria, suprapubic pain or haematuria. He usually takes Methotrexate 7.5 mg every Tuesday for rheumatoid arthritis that is well controlled. Urine dipstick was positive for nitrites, protein and white cells. What is the next best step in management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.