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Elderly residents of long-term care facilities often require chronic indwelling catheterization for the management of urinary voiding. As a result of urethral catheterization, residents are bacteriuric, primarily due to biofilm formation along the catheter, and may develop symptomatic urinary tract infection (UTI). To avoid the development of resistance, UTI should be treated with short courses of appropriate antimicrobials. Strategies, including avoiding the use of catheters whenever possible, should be followed to prevent and manage catheter-related UTI in elderly long-term care residents.