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Urinary Tract Infection (UTI) in Females

Akhil Das, MD, FACS and May Jean Counsilman, MD Reviewed 06/2020
 


BASICS

DESCRIPTION

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

  • This topic refers primarily to acute infectious cystitis...

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

  • Asymptomatic bacteriuria in a nonpregnant woman should not be treated with antibiotics (2)[C].

  • Maintain good hydration especially in those consuming less than 1.5 L water per ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • First or rare UTI: Young or middle-age, nonpregnant adult females require no follow-up if UTI is clinically cured after 3-day therapy (2)[C].

  • If symptoms persist a...

REFERENCES

1
Guglietta A. Recurrent urinary tract infections in women: risk factors, etiology, pathogenesis and prophylaxis. Future Microbiol.  2017;12:239–246.
2
Anger J, Lee U, Ackerman AL, et al....

ADDITIONAL READING

SEE ALSO

Algorithm: Dysuria 

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 lower 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.

  • ...

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