Acute simple cystitis* |
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Acute complicated UTI |
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Special populations with unique management considerations |
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UTI: urinary tract infection.
* We do not consider patients with underlying urologic abnormalities (such as nephrolithiasis, strictures, stents, or urinary diversions), immunocompromising conditions (such as neutropenia or advanced HIV), or poorly controlled diabetes mellitus to have complicated UTI in the absence of symptoms concerning for upper tract or systemic infection. However, such patients can be at higher risk for more serious infection and have not traditionally been included in studies evaluating the antibiotic regimens we typically use for acute simple cystitis. Thus, we follow such patients more closely and/or have a low threshold to manage them as complicated UTI (eg, if they have subtle symptoms other than those listed above that could be suggestive of more extensive infection).
¶ This temperature threshold is not well defined and should be individualized, taking into account baseline temperature, other potential contributors to an elevated temperature, and the risk of poor outcomes should empiric antimicrobial therapy be inappropriate.Do you want to add Medilib to your home screen?