Presence of 1 or more bacteria ≥10⁵ CFU/mL with no UTI symptoms
Assess for other causes (i.e. dehydration) and ‘watch-and-wait’ rather than antimicrobial treatment in:
Initiating empiric antibiotics for potential UTI may be appropriate pending culture results
Unnecessary treatment can increase the risk of adverse events (C. difficile infection) and cause antimicrobial resistance
Urine testing is recommended only in the presence of classic signs and symptoms of UTI
Does not apply to complicated cases (e.g. nephrostomy, urostomy) OR hemodynamic instability