The Emergency Department Diagnosis and Management of Urinary Tract Infection

Brit Long, Alex Koyfman

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Urinary tract infection (UTI) is a common infection seen in the emergency department. The spectrum of UTI includes simple versus complicated infection and lower versus upper UTI. No one history or examination finding is definitive for diagnosis. Testing often includes urinalysis and/or urine dipstick, and several pitfalls may occur in interpretation. Urine cultures should be obtained in complicated or upper UTIs but not simple and lower tract UTIs, unless a patient is pregnant. Imaging often is not required. Most patients with simple cystitis and pyelonephritis are treated as outpatients. A variety of potentially dangerous conditions may mimic UTI and pyelonephritis.

Original languageEnglish (US)
Pages (from-to)685-710
Number of pages26
JournalEmergency Medicine Clinics of North America
Volume36
Issue number4
DOIs
StatePublished - Nov 1 2018

Keywords

  • Cystitis
  • Hydronephrosis
  • Mimic
  • Obstruction
  • Pyelonephritis
  • Sepsis
  • Urinary tract infection

ASJC Scopus subject areas

  • Emergency Medicine

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