Urinary tract infections in the community

Abstract

Urinary tract infections (UTIs) are defined as significant bacteriuria in the setting of symptoms of cystitis/pyelonephritis. Urine dipstick is diagnostic in most cases. Urinalysis and Microscopy (U&M) and Culture and Sensitivity (C&S) prior to starting antibiotic therapy is indicated for the diagnosis and as an aid to the correct management of UTIs in certain settings. Antibiotics to treat UTIs must be carefully chosen and their prescribed duration depends on the type of UTI. Over-the-counter products for the treatment and prevention of UTIs are available: these include cranberry products and potassium citrate. Recurrent UTIs in females, UTIs in catheterized men, pyelonephritis and UTIs with unusual organisms require further investigation.