Urinary tract infection resident survival guide: Difference between revisions

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{{familytree | | | | A01 | | | | | | | | | | | | A01=<div style="float: left; text-align: left; line-height: 150% ">'''Characterize the symptoms:''' <br> ❑ Fever <br> ❑ Dysuria <br> ❑ Frequent urination <br> ❑ Suprapubic pain <br> ❑ Hematuria <br> ❑ Vomiting <br> ❑ Diarrhea <br> ❑ Nausea <br> ❑ Flank or back pain <br> ❑ Weak stream <br> ❑ Hesistancy <br> ❑ Nocturia <br> ❑ Chills <br> ❑ Urethral discharge
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'''Obtain a detailed history:''' <br> ❑ Use of urinary catheters <br> ❑ Pregnancy <br> ❑ Diabetes <br> ❑ Female and sexually active <br> ❑ Renal problems <br> ❑ Menopausal <br> ❑ Sickle cell disease <br> ❑ Elderly <br> ❑ Antibiotic use <br> ❑ Urogynecologic surgery <br> ❑ Urinary retention <br> ❑ Urinary incontinence <br> ❑ Anatomic malformations of the urinary tract <br> ❑ Increased susceptibility to UTIs <br> ❑ Allergies to latex condoms or spermicices</div>|}}
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Revision as of 23:56, 2 March 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]

Introduction

A urinary tract infection is a bacterial infection that affects any part of the urinary tract.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Urinary tract infection does not have life threatening causes.

Common Causes

Management

Shown below is an algorithm depicting the initial approach to UTI.

 
 
 
Characterize the symptoms:
❑ Fever
❑ Dysuria
❑ Frequent urination
❑ Suprapubic pain
❑ Hematuria
❑ Vomiting
❑ Diarrhea
❑ Nausea
❑ Flank or back pain
❑ Weak stream
❑ Hesistancy
❑ Nocturia
❑ Chills
❑ Urethral discharge
Obtain a detailed history:
❑ Use of urinary catheters
❑ Pregnancy
❑ Diabetes
❑ Female and sexually active
❑ Renal problems
❑ Menopausal
❑ Sickle cell disease
❑ Elderly
❑ Antibiotic use
❑ Urogynecologic surgery
❑ Urinary retention
❑ Urinary incontinence
❑ Anatomic malformations of the urinary tract
❑ Increased susceptibility to UTIs
❑ Allergies to latex condoms or spermicices
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 







 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

Dont's

References