Urinary Tract Infections (UTI)

Acute UTI confined to the bladder:

• Dysuria, frequency, urgency, hematuria, and/or suprapubic pain

• No signs or symptoms of upper tract or systemic infection.

Acute UTI accompanied by signs or symptoms of extension of infection beyond bladder (acute pyelonephritis, febrile UTI, or catheter-associated UTI):

• Fever, chills, rigors, significant fatigue or malaise, nausea, vomiting

• Flank pain, CVA tenderness

• Pelvic or perineal pain in men

Patients may or may NOT have cystitis symptoms.

Bacteremic UTI and “urosepsis” are managed the same as acute complicated UT

Oral regimen preferred from outset in most patients.

If started on parenteral agent, switch to oral agent as soon as feasible.