**5.10. CAUTI with** *Achromobacter xylosoxidans*

Achromobacter denitrificans is gram negative bacterium formerly known as *Alcaligenes denitrificans*. Infection with this organism predominantly observed in elderly patients with predisposing factors as urological abnormalities, malignancies and immune-suppression. Rarely it causes bacteraemia. This bacterium has high level of antibiotic resistance [84].

In polymicrobial biofilm, *Achromobacter xylosoxidans* cohabits with common organisms *E. coli*, *Pseudomonas aeruginosa* and *Klebsiella pneumoniae*. Diagnosis is by bacterial culture and molecular methods.
