Management of UTIs in non-pregnant women

adapted from SIGN GUIDELINE 88 - july 2006

 

Symptoms and signs of UTI

  1. dysuria

  2. urgency

  3. frequency

  4. haematuria

  5. fever

  6. loin pain

 If  vaginal discharge/ itch present consider alternative diagnosis
Consider
Upper Urinary Tract Infection
(UUTI)Upper_UTI.htmlUpper_UTI.htmlUpper_UTI.htmlUpper_UTI.htmlshapeimage_2_link_0shapeimage_2_link_1shapeimage_2_link_2shapeimage_2_link_3
 Probable LUTI


Commence empirical AB
 Fever or loin pain ?
Rigors, nausea or vomiting
 Nitrite positive
 Nitrite and LE negative

Obtain urine sample and use dipstick

 No more than two symptoms or mild symptoms
 Nitrite negative and LE positive
 LUTI unlikely

Give advice on symptom management
 Possible LUTI Send urine sample for culture

Commence empirical AB
 Multiple typical signs and symptoms of UTI
 Probable LUTI


Commence empirical ABAntibiotic_therapy.html
In healthy non-pregnant women UTI can be diagnosed without dipstick or culture

No

Yes

Treatment failure ( 3 days AB)

Send Urine sample for culture

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