Urinary tract infection: Difference between revisions
From IDWiki
(ββ) |
(ββ) |
||
| Line 1: | Line 1: | ||
== Definition == |
|||
* Bacterial infection of the urinary tract, either lower (cystitis) or upper (pyelonephritis) |
* Bacterial infection of the urinary tract, either lower (cystitis) or upper (pyelonephritis) |
||
* When UTI causes sepsis syndrome, often referred to as urosepsis |
* When UTI causes sepsis syndrome, often referred to as urosepsis |
||
== Criteria == |
|||
* Diagnostic criteria include clinical and laboratory symptoms: |
* Diagnostic criteria include clinical and laboratory symptoms: |
||
** Two or more clinical symptoms: |
** Two or more clinical symptoms: |
||
Revision as of 14:41, 5 September 2019
- Bacterial infection of the urinary tract, either lower (cystitis) or upper (pyelonephritis)
- When UTI causes sepsis syndrome, often referred to as urosepsis
Criteria
- 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)
- Two or more clinical symptoms:
Etiology
- Typical organisms include:
Investigations
- Labs
- Urinalysis has high NPV (~100%) if negative for leukocyst esterase and nitrites is negative
References
- ^ Dimitri M. Drekonja, Barbara Trautner, Carla Amundson, Michael Kuskowski, James R. Johnson. Effect of 7 vs 14 Days of Antibiotic Therapy on Resolution of Symptoms Among Afebrile Men With Urinary Tract Infection. JAMA. 2021;326(4):324. doi:10.1001/jama.2021.9899.
