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Chapter 5: Infections Toggle Pages
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Urinary tract infections (UTI)

Management of asymptomatic bacteriuria (ASB) Management of catheter-associated urinary tract infection (CA-UTI) Management of chronic pelvic pain syndrome (CPPS) Management of community multidrug-resistant (MDR) urinary tract infection (UTI) Management of lower urinary tract infections (UTI) Management of prostatitis, acute Management of pyelonephritis, acute Management of recurrent urinary tract infection (rUTI) Resources for urinary tract infections (UTI)

Considerations when prescribing antibiotics:

When considering antibiotics (see also patient subgroups below), take account of severity of symptoms, risk of complications, previous urine culture and susceptibility results, previous antibiotic use which may have led to resistant bacteria and local antimicrobial resistance data.

Reassess at any time if symptoms worsen rapidly or significantly, or do not start to improve within 2 days of taking antibiotics, or the patient becomes systemically very unwell, taking account of:

  • Alternative diagnoses
  • Any symptoms or signs suggesting a more serious illness or condition, such as pyelonephritis
  • Previous antibiotic use, which may lead to resistant organisms

When an individual is receiving prophylactic antibiotics, treatment should be with a different antibiotic, not a higher dose of the same antibiotic.

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