Definitions

Symptoms of a UTI AND pyuria (>10 WBC)
AND positive urine culture OR urinalysis bacteria ≥ 3+ (10,000 colonies)

• UTI symptoms: Dysuria, urgency, frequency, suprapubic pain, hematuria

• Additional symptoms in spinal cord injury: Increased spasticity, autonomic dysreflexia, sense of unease

Uncomplicated: Pre-menopausal female, no urologic abnormalities, no stones, no catheter

Complicated: Male, post-menopausal female, possible stones, urologic abnormalities, pregnancy, recurrent UTIs, poorly controlled diabetes, multiple sclerosis, spinal cord injury

Symptoms of a systemic infection AND pyuria (>10 WBC) AND positive urine culture OR urinalysis bacteria ≥ 3+ (10,000 colonies)

Symptoms of systemic infection: Fever, chills, flank pain, nausea/vomiting, leukocytosis, WBC casts, abnormality on imaging

Positive urine culture (≥ 10,000 colonies) with no signs or symptoms

• Considered a colonization, not an infection

• Pyuria alone does not qualify as urinary tract infection requiring antibiotics

Patients with indwelling catheter AND pyruia (>10 WBC) AND positive urine culture or UA bacteria ≥ 2+ (1000 colonies)

• Additional UTI signs: New onset delirium, rigors, fever; may lack typical symptoms like dysuria