Urinary Tract Infections (UTI)

Classification

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

  • Pregnant women
  • Renal transplant recipients

Empiric Therapy

Oral Step-Down & Duration

Oral regimen preferred from outset in most patients. If started on parenteral agent, switch to oral agent as soon as feasible.