22nd May 2024

Background

Urinary tract infections (UTIs) can be classified into lower, upper (i.e. pyelonephritis) and catheter associated UTIs. Antibiotic management differs for each class and between men, non-pregnant women and in pregnancy. Initial investigations and additional management do not differ between groups. Initial investigations include obtaining a urine sample for urine dipstick and laboratory microscopy, culture and sensitivities. Additional management includes pain relief and ensuring the intake of sufficient fluids. There has been no evidence found for cranberry products or urine alkalinising agents to treat lower UTIs. All antibiotics should be reviewed when sensitivities are available, adjusting if resistance is present.

Asymptomatic bacteriuria is significant levels of bacteria in urine with no UTI symptoms. It is not screened for or treated in non-pregnant women, men, children or young people. For pregnant people, it is screened for and treated as it is a risk factor for pyelonephritis and premature delivery.