Isolation of bacteria in an appropriately collected urine specimen obtained from a person without symptoms or signs referable to urinary infection
Does not require any further diagnostic testing or treatment
Symptomatic bladder or kidney infection in a female with a normal genitourinary tract
Symptomatic bladder or kidney infection in male or female with functional or structural abnormalities of the genitourinary tract (i.e. recent urological procedure, ureteral stents)
Symptomatic lower urinary tract/bladder infection
Symptoms:
Dysuria
Increased urinary urgency and/or frequency
Suprapubic pain
Fever
Symptomatic upper urinary tract/kidney infection
Symptoms:
Dysuria
Increased urinary urgency and/or frequency
Suprapubic pain
Fever
Flank or abdominal pain
Costovertebral angle tenderness
Nausea/vomiting
Significant bacteriuria in a catheterized or recently (≤48 hours) catheterized patient with symptoms/signs referable to the urinary tract and no other source of infection
Symptoms tend to be non-specific including:
Fever
Altered mental status
Lethargy
Acute hematuria
Pelvic pain
Urine culture should be obtained from newly placed or recently replaced urinary catheter
IV Antibiotics or Broad-spectrum antibiotics (FQ, amox/clav, ceftriaxone) in the previous 90 days
Hospitalized for >2 days in the previous 90 days
Current hospitalization for >5 days prior to UTI symptom onset
History of nosocomial or drug-resistant pathogen (ESBL) in the previous 12 months
Genitourinary procedure within the previous 30 days
Positive UA meets the following criteria:
Criteria for UA to Reflex for Urine Culture (if urinalysis presents with any of the following, a culture & sensitivity will be performed):
Majority of UTI have culture with >100,000 CFU/mL of a single bacteria
Contamination
Colonization
May be helpful to rule out alternative diagnosis like kidney stone or malignancy