Guidelines
Urinary Tract Infection

Urinary Tract Infection

Routine Practices

  • Routine urinalysis should be ordered along with urine culture

  • Bag urines are unacceptable specimens due to their frequent contamination with perineal flora

  • Nitrite Positive samples on a urine dipstick is suggestive of UTI and warrants empiric treatment after cultures are completed

  • Moderate Leukocyte Esterase from catheter specimens warrants empiric treatment after cultures are completed

Duration of Therapy

Neonates: 7-14 days (Initial treatment with IV) - Step down to oral therapy when clinically indicated

Febrile infant/children with UTI/pyelonephritis: 7 days

  • Step down to oral therapy when clinically indicated

  • Applies to inpatients and outpatients

Older children, cystitis, no fever: 2-4 days

More Information

Choosing Wisely Urinary Tract Infection Empiric Treatment Recommendation Pathway for Low Risk Patients Available Here