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Urinary Tract Infection (UTI) in Females

James E. Steward, MD and Akhil Das, MD, FACS Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Urinary tract infection (UTI) is the presence of pathogenic microorganisms within the urinary tract with concomitant symptoms.

  • This topic refers primarily to infectious cystitis; othe...

DIAGNOSIS

HISTORY

Note: Any or all may be present: 
  • Burning or pain during urination (dysuria)

  • Urgency (sensation of need to urinate often)

  • Frequency

  • Sensation of incomplete bladder emptying

  • Blood in urine

  • L...

TREATMENT

GENERAL MEASURES

  • Maintain good hydration.

  • Maintain good hygiene.

  • 1/4 of women with uncomplicated UTI experience a second UTI within 6 months and 1/2 at some time during their lifetime.

  • Many wome...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • First or rare UTI: Young or middle-aged, nonpregnant adult females require no follow-up if UTI is clinically cured after 3-day therapy.

  • If symptoms persist after 2...

REFERENCES

1
Mody L, Juthani-Mehta M. Urinary tract infections in older women: a clinical review. JAMA.  2014;311(8):844–854. [View Abstract on OvidMedline]
2
Guglietta A. Recurrent urinary tract in...

ADDITIONAL READING

  • Gupta K, Hooton TM, Naber KG, et al; for Infectious Diseases Society of America, European Society for Microbiology and Infectious Diseases. International clinical practice guideline...

CODES

ICD10

  • N39.0 Urinary tract infection, site not specified

  • N30.90 Cystitis, unspecified without hematuria

  • N30.91 Cystitis, unspecified with hematuria

  • N30.10 Interstitial cystitis (chronic) without hema...

CLINICAL PEARLS

  • Uncomplicated UTIs cause significant short-term morbidity but generally do not cause renal damage.

  • Culture is generally not indicated for women with symptoms of uncomplicated UTI.

  • Treatm...

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