Abstract
The purpose of this chapter is to assist advanced practice providers, particularly those specializing in urology, on how to recognize and manage urinary tract infections. Unfortunately, the lack of knowledge in assessing both a urine specimen correctly and the inability to correlate this information with a patient’s presenting signs and symptoms is cause for frequent misdiagnosis of urinary tract infections. In addition, the misuse and overuse of antibiotics in today’s society has made treating urinary tract infections more complicated and contributed to a need for proper antibiotic stewardship. This chapter will review the different types of infections, the diagnostic testing required, as well as population-specific guidelines for proper management.
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Anger J, Lee U, Ackerman L, Chou R, Chughtai B, Clemens Q et al (2019) Recurrent uncomplicated urinary tract infections in women: AUA/CUA/SUFU Guideline. J Urol 202(2):282–289. Retrieved from: https://www.auanet.org/guidelines/recurrent-uti
Bass-Ware A, Weed D, Johnson T, Spurlock A (2014) Evaluation of the effect of cranberry juice on symptoms associated with a urinary tract infection. Urol Nurs 34(3):121–127
Bastani B (2001) Urinary tract infections. In: Noble J, Greene HL II, Levinson W, Modest GA, Mulrow CD, Scherger JE, Young MJ (eds) Textbook of primary care medicine, 3rd edn. Mosby, Inc., Missouri, pp 1364–1371
Bernard MS, Hunter KF, Moore KN (2012) A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections. Urol Nurs 32(1):29–37
Brubaker L, Carberry C, Nardos R, Carter-Brooks C, Lowder L (2018) American Urogynecologic Society best-practice statement: recurrent urinary tract infection in women. Female Pelvic Med Reconstr Surg 24(5):321–323
Center for Disease Control and Prevention (2005) Urinary tract infections [Disease Listing]. Retrieved from http://www.cdc.gov/ncidod/dbmd/diseaseinfo/urinarytractinfections_t.htm
Center for Disease Control and Prevention (2009) Guideline for prevention of catheter associated urinary tract infections 2009. Retrieved from http://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf
Colgan R, Williams M (2011) Diagnosis and treatment of acute uncomplicated cystitis. Am Family Phys 84(7):771–776. Retrieved from http://www.aafp.org/afp/2011/1001/p771.html
Ellsworth P, Onion DK (2012) The little black book of urology, 3rd edn. Jones & Bartlett Learning, Sudbury, pp 68–71
Goldman HB (2001) Evaluation and management of recurrent urinary-tract infections. In: Kursch ED, Ulchaker JC (eds) Office urology: the clinician’s guide. Humana Press Inc., Totowa, pp 105–111
Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA, Healthcare Infection Control Practices Advisory Committee (HICPAC) (2009) Guideline for catheter associated urinary tract infections 2009. Center for Disease Control and Prevention. Retrieved from http://www.cdc.gov/hicpac/pdf/cauti/cautiguideline2009final.pdf
Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG, Moran GJ, Nicolle LE, Raz R, Schaeffer AJ, Soper DE (2011) International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: a 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis 52(5):e103–e120
Hanno PM (2014) Lower urinary tract infections in women and pyelonephritis. In: Hanno PM, Guzzo TJ, Malkowicz SB, Wein AJ (eds) Penn clinical manual of urology, 2rd edn. Elsevier Saunders, Philadelphia, pp 110–132
Harlow HF (1983) Fundamentals for preparing psychology journal articles. J Comp Physiol Psychol 55:893–896
Hooten TM (2012) Uncomplicated urinary tract infection. N Engl J Med 366:1028–1037. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMcp1104429
Jepson RG, Williams G, Craig JC (2012) Cranberries for preventing urinary tract infections. Cochrane Database Syst Rev 10(10):CD001321. https://doi.org/10.1002/14651858.CD001321.pub5
Macfarlane MT (2013) Urology, 5th edn. Lippincott Williams & Wilkins, Philadelphia, pp 86–110
Medina M, Castillo-Pino E (2019) An introduction to the epidemiology and burden of urinary tract infections. Ther Adv Urol 11:3–7. https://doi.org/10.1177/1756287219832172
Nicolle LE, Gupta K, Bradley S, DeMuri GP, Drekonja D et al (2019) Clinical practice guidelines for the management of asymptomatic bacteriuria: 2019 Update by the Infectious Disease Society of America. Italicized Clin Infectious Dis 68:e83–e109
Sandock DS, Kursh ED (1995) Urinary tract infections in adult females. In: Resnick MI, Novick AC (eds) Urology secrets. Hanley & Belfus, Inc., Philadelphia, pp 205–207
Smith AL, Brown J, Wyman JF, Berry A, Newman DK, Stapelton AE (2018) Treatment and prevention of recurrent lower urinary tract infections in women: a rapid review with practice recommendations. J Urol 200(6):1174–1191
Society of Urological Nurses Association (2010) Prevention & control of catheter-associated urinary tract infection (CAUTI) [clinical practice guidelines]. Retrieved from https://www.suna.org/sites/default/files/download/cautiGuideline.pdf
Stamm WE, Norrby SR (2001) Urinary tract infections: disease panorama and challenges. J Infect Dis 183(Suppl 1):S1–S4. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11171002
Uphold CR, Graham MV (1998) Clinical guidelines in family practice, 3rd edn. Barmarrae Books, Gainesville, pp 601–607
Zalmanovici TA, Lador A, Sauerbrun-Cutler MT, Leibovici L (2015) Antibiotics for asymptomatic bacteriuria (review). Cochrane Databases Syst Rev 4:1–27
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Lajiness, M.J., Hintz, L.J. (2020). Diagnosis and Management of Urinary Tract Infections, Asymptomatic Bacteriuria and Pyelonephritis. In: Quallich, S., Lajiness, M. (eds) The Nurse Practitioner in Urology. Springer, Cham. https://doi.org/10.1007/978-3-030-45267-4_11
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