Urinary tract infection: Difference between revisions

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* Typical organisms include:
* Typical organisms include:
** E. coli
** ''[[E. coli]]''
** S. saprophicitus
** ''[[S. saprophicitus]]''


== Investigations ==
== Investigations ==

Revision as of 15:31, 17 August 2019

Definition

  • Bacterial infection of the urinary tract, either lower (cystitis) or upper (pyelonephritis)
  • When UTI causes sepsis syndrome, often referred to as urosepsis
  • Diagnostic criteria include clinical and laboratory symptoms:
    • Two or more clinical symptoms:
      • Fever > 38ΒΊC
      • Urinary urgency or frequency
      • Acute dysuria
      • Hypogastric pain
      • Costovertebral angle tenderness
    • One or more laboratory finding:
      • Bacteriuria (> 100,000 CFUs/mL)
      • Pyuria (>10 WBCs/HPF)

Etiology

Investigations

  • Labs
    • Urinalysis has high NPV (~100%) if negative for leukocyst esterase and nitrites is negative