Guidelines
Urinary Tract Infection

Urinary Tract Infection

Microbiology

Clinical Considerations

Recommendations exclude patients with urogenital abnormalities/stents, pregnancy and assumes normal renal function

  • Delirium without fever or lower urinary tract symptoms is NOT considered a symptom of UTI among non-catheterized patients
  • Consider trial of rehydration over 24 hours, assessment for other causes, and careful observation

Adult Antibiotic Treatment

Asymptomatic Bacteruria does NOT require antimicrobial therapy except in:

  1. Pregnant women (β-lactam preferred therapy, nitrofurantoin macrocrystals can also be considered if less than 36 weeks gestation)
  2. Prior to urologic surgery in which mucosal bleeding is expected
  3. Kidney transplant recipients in the early postoperative period

Additional Information

  1. https://www.antimicrobialstewardship.com/uti
  2. IDSA 2011 UTI Guidelines
  3. AMMI Canada 2021 Practice Point: Duration of Antibiotic Therapy for Common Infections
  4. AMMI Canada 2018 position statement on asymptomatic bacteriuria
  5. IDSA 2019 Asymptomatic Bacteriuria Guidelines
  6. December 2021 TBRHSC ASP Pocket Card