Diagnosis And Management Of Urinary Tract Infections In The Emergency Department
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Diagnosis And Management Of Urinary Tract Infections In The Emergency Department

July 2014

Abstract

Urinary tract infections are a heterogeneous group of disorders, involving infection of all or part of the urinary tract, and are defined by bacteria in the urine with clinical symptoms that may be acute or chronic. Approximately 1 million urinary tract infections are treated every year in United States emergency departments. The female-to-male ratio is 6:1. Urinary tract infection s are categorized as upper versus lower tract involvement and as uncomplicated versus complicated. The emergency clinician must carefully categorize the infection and take into account patient host factors to optimally treat and disposition patients. A working knowledge of local or at least national susceptibil - ity patterns of the most likely pathogens is essential. A variety of special populations exist that require special management, including pregnant females, patients with anatomic abnormalities, and instrumented patients.

Key words: urinary tract infection, complicated UTI, uncomplicated UTI, lower UTI, upper UTI, pyelonephritis, cystitis, pyuria, dusuria, sepsis, pregnancy and UTI

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