Protocol for evaluation and management of urinary tract infection in adults

ABSTRACT

Urinary Tract Infections in adults are quite commonly encountered in General Practice. It remains a significant cause of morbidity. Categorization of the infection by clinical syndrome and by host helps the physician to determine the appropriate diagnostic and management strategies. Clinical judgement should dictate whether urine culture is needed or not. The most effective therapy for an uncomplicated infection is a three-day course of trimethoprim-sulfomethoxozole [Co-Trimoxazole]. Nitrofurantoin can also be used. Complicated infections require a more prolonged course of therapy. Quinolones or third generation cephalosporins can be used for at least 10 to 14 days