Spectrum: Local Antimicrobial Stewardship, for Bakersfield Memorial Hospital

UTI

Notes

Collection of cultures in the absence of signs and symptoms should be avoided.

A urine culture must ALWAYS be interpreted in the context of the urinalysis and patient symptoms.

If a patient has no signs of infection on urinalysis, no symtpoms of infection, but a positive urine culture, the patient by definition has asymptomatic bacturia, or the specimen was contaminated at the time of collection with skin flora.

Diagnosis

Empiric Treatment

Uncomplicated UTI

  • Female

  • No urologic abnormalities

  • No stones

  • No catheter

Complicated UTI

  • Urologic abnormality

  • Stones

  • Azotemia

  • Transplant

  • Catheter

  • Male

Asymptomatic Bacteriuria

Postive urine culture with no signs or symptoms. Common in elderly.

Treatment Of Specific Pathogens

Enerococcal UTI