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Urinary Tract Infection (UTI) in Females

Akhil Das, FACS, MD and Radhika Ragam, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Urinary tract infection (UTI) is the presence of pathogenic microorganisms within the urinary tract and associated symptoms (dysuria, urinary urgency/frequency, hematuria, new or wor...

DIAGNOSIS

HISTORY

  • Dysuria, urgency, frequency, sensation of incomplete bladder emptying, hematuria, suprapubic pain, malodorous urine, altered mental status, nocturia, sudden onset or worsening of urin...

TREATMENT

GENERAL MEASURES

  • ASB in a nonpregnant woman should not be treated with antibiotics  (5).

  • Maintain adequate hydration with at least 2L water daily.

  • Many women with uncomplicated UTI have resolut...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

First UTI: Middle-age, nonpregnant females require no follow-up if UTI is clinically cured after 3-day therapy  (5)[C]. Obtain urine culture if symptoms persist a...

REFERENCES

1
Gupta K, Trautner BW. Diagnosis and management of recurrent urinary tract infections in non-pregnant women. BMJ. 2013 May 29;346:f3140. 
2
Foxman B. Urinary tract infection syndromes: occurr...

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

  • Urine culture is generally not indicated for women with uncomplicated UTI.

  • Uncomplicated UTIs should be treated for 3 days (TMP/SMX) or 5 days (nitrofurantoin). Pregnant women with bact...

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