Male Cystitis/Pyelo - Uncomp

Note

There is a high prevalence of asymptomatic bacteriuria and pyuria in nursing home patients, which does NOT require treatment (leads to resistance).

UTI should only be diagnosed and treated in symptomatic patients.

Avoid catheterization

For patients with nonspecific symptoms (falls, change in mental status), improving hydration often resolves symptoms - withhold ABx 24hrs and reassess

Suggested Empiric Rx

The choice between the following agents should be made based on the acuity of illness, previous culture data from the same patient, risk factors for drug resistant organisms, and appropriate antibiogram data (i.e. community vs hospital)

OR

OR

OR

OR

OR

Healthcare: prolonged hospitalization, ICU stay, percutaneous feeding tubes, nursing home residence, urinary catheterization

Travel within 6-12 months to area of high prevalence (i.e. South Asia), especially when received medical care while abroad Antimicrobial exposure