Professional Documents
Culture Documents
Any site in the urinary tract may be involved : the urethra, prostate,
bladder, ureter, kidney and perinephric space.
Recurrent UTI: patients with at least two infections within 6 months or three or
more during a single year, in which the initial episode is resolved and
is followed by another infection.
3. Culture
4. Radiological evaluation
Ultrosound
Plain abdominal radiography
Intravenous urography
CT scanning
Criteria for diagnosis of significant bacteriuria
Symptomatic women :
102 coliform organisms/ml urine plus pyuria, or
105 of any pathogenic organism/ml urine, or
Any growth of a pathogenic organism from urine obtained by
suprapubic aspiration
Symptomatic men :
103 pathogenic organism/ml urine
Asymptomatic patients :
105 pathogenic organism/ml urine in two consecutive samples
Classification of Urinary Tract Infection (1)
Severe illness
Moderate severity
Resolution
No resolution in 5 days No resolution
in 5 days in 5 days
Radiologic evaluation
Treatment 14 days Oral treatment 14 days or
longer as required
Clinical Classification of Urinary Tract Infection
Yes No
5 Days
Estrogen substitution
Antibiotic therapy :
(oral & topical)
On demand or
Postcoital or
Longterm prophylaxis
Antibiotic therapy :
On demand or
Longterm prophylaxis
Madersbacher S, et al. Curr Opin Urol 2000 ; 10 : 32.
Drug regimens for long-term, low-dose prophylaxis of
recurrent urinary tract infection
Drug Dose*
Nitrofurantoin 50 mg
Trimethoprim 100 mg
Co-trimoxazole 0.24 g
Norfloxacin 200 mg
Ciprofloxacin 125 mg
Cephalexin 125 mg
( useful if renal insufficiency)
Hexamine hippurate 1g
* Treatment is effective if taken each night, alternate nights, three times a week,
or just after intercourse
Clinical Classification of Urinary Tract Infection