Male Cystitis/Pyelo - Uncomp

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

Fluoroquinolones and TMP-SMX are preferred due to prostatic penetration, but >20% resistance to both agents for E. coli in male UTI

Beta-lactam can be used if susceptible for 14d therapy

Nitrofurantoin is not recommended in men