Nephro-Uro-Andrology » Infections & Inflammation

Urinary Tract Infection (UTI)

Urinary tract infection (UTI) is defined as significant bacteriuria in the presence of symptoms. Successful emergent management includes proper specimen collection, use of immediately-available laboratory testing for presumptive diagnosis, appreciation of epidemiological and host factors that may identify patients with clinically-inapparent upper UTI, and selection of appropriate antimicrobial therapy with recommendations for follow-up care. Complications of simple lower UTI in otherwise-healthy individuals are rare, chiefly revolving around issues of resistant organisms or re-infection with the same organism. Relapse of symptoms after a brief 3-day course of antibiotics suggests the presence of clinically-unsuspected upper UTI and requires 10- to 14-day therapy. The morbidity from upper UTI, especially in the elderly or those patients with complicated disease, is substantial.

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