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Guidelines
Urinary Tract Infections

Urinary Tract Infections

Definitions

Signs and symptoms (e.g. dysuria, urgency, frequency, suprapubic pain) AND pyuria (>5-10 WBC/hpf) AND positive urine culture ≥ 100,000 colonies.

  • Female
  • No urologic abnormalities
  • No stones
  • No catheter
  • Male
  • Stones
  • Urologic abnormality
  • Pregnancy
  • Signs and symptoms (e.g. fever, flank pain) AND pyuria AND positive urine culture ≥ 100,000 colonies.
  • Many patients will have other evidence of upper tract disease (i.e., leukocytosis, WBC casts, or abnormalities on imaging).
  • Signs and symptoms (fever with no other source is the most common
  • Patients may also have suprapubic or flank pain) AND pyuria (>5-10 WBC/hpf) AND positive urine culture ≥ 100,000 colonies

Empiric Treatment