Home
Guidelines
Pathogens
Antimicrobials
For severe or life-threatening infections, refer to PHC sepsis pathway (not in this app)
For patients from residential care, refer to PHC residential UTI pathway
Asymptomatic bacteriuria?
Diagnosis of UTI requires a combination of reliable clinical signs and symptoms AND a positive urine culture
DO NOT send urine for culture or perform urine dipstick testing in patients who are asymptomatic
Cloudy or foul smelling urine is not an indication for urine culture
Pyuria in asymptomatic patients is not an indication for antibiotic treatment
NO evidence that antibiotic therapy of asymptomatic bacteriuria is of any benefit EXCEPT:
Prior to genitourinary procedures in which mucosal bleeding/trauma is expected
In pregnancy
Pregnant
Male
Recent Instrumentation/Catheterization
Structural/Functional urologic abnormality or nephrolithiasis
Immunosupression
Diabetes
Symptoms duration over 7 days
Recurrent UTI (over 3 per year or 2 in 6 months)
References