Diagnosis of UTI requires a combination of reliable clinical signs and symptoms AND a positive urine culture
DO NOT send urine for culture or perform urine dipstick testing in patients who are asymptomatic
Cloudy or foul smelling urine is not an indication for urine culture
Pyuria in asymptomatic patients is not an indication for antibiotic treatment
NO evidence that antibiotic therapy of asymptomatic bacteriuria is of any benefit EXCEPT:
- Prior to genitourinary procedures in which mucosal bleeding/trauma is expected
- In pregnancy
Select All That Apply
- Warren JW. Clin Infect Dis. 1999; 29:745-58
- University of Michigan Health System Guidelines for Clinical Care. Urinary Tract Infection. Updated May, 2005.
- Institute for Clinical Systems Improvement. Uncomplicated urinary tract infection in women. 10th ed. July 2006.
- ACOG Committee on Practice Bulletins. Treatment of urinary tract infections in nonpregnant women. Obstet Genecol. 2008; 91:785-794.
- Abrahamian FM. Infect Dis Clin N Amer. 2008;22:73-87
- Gupta K. Clin Infect Dis. 2011;52:e103-20.
Guideline adapted from Providence Health Care