Rothe et al reported criteria for urocystitis and asymptomatic bacteriuria in a hospitalized patient. The authors are from multiple institutions in Germany, Japan and London.
Patient selection: bacteriuria
Parameters:
(1) genitourinary symptoms (acute dysuria, urgency, frequency, suprapubic tenderness, flank pain)
(2) bacteremia from a urinary source with or without symptoms of UTI
(3) features of a systemic reaction (fever, organ failure or positive biomarker)
Genitourinary Symptoms
Bacteremia from Urinary Source
Systemic Reaction
Diagnosis
present
absent
absent
urocystitis
absent
absent
absent
asymptomatc bacteriuria
where:
• The presence of bacteremia and/or systemic reaction should prompt an evaluation for SUTI or infection arising from a non-urinary source.
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