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Management of suspected bacterial urinary tract infection in adults


Urinary tract infection is the second most common clinical indication for antimicrobial treatment in primary and secondary care and there is considerable variation in use of diagnostic tests, interpretation of signs or symptoms and initiation of antibiotic treatment.

Remit and target users

This guideline provides recommendations based on current evidence for best practice in the management of adults with community acquired urinary tract infection. It includes adult women (including pregnant women) and men of all ages, patients with indwelling catheters and patients with comorbidities such as diabetes. It excludes children and patients with hospital acquired infection. The guideline does not address prophylaxis to prevent UTI after instrumentation or surgery, or treatment of recurrent UTI.

This guideline will be of interest to healthcare professionals in primary and secondary care, officers in charge of residential and care homes, antibiotic policy makers, clinical effectiveness leads, carers and patients.

How this guideline was developed

This guideline was developed using a standard methodology based on a systematic review of the evidence. Further details can be found in SIGN 50: A Guideline Developer’s Handbook .

Keeping up to date

This guideline was issued in 2012 and will be considered for review in three years. The review history, and any updates to the guideline in the interim period, will be noted in the review report.

If you are aware of any new evidence that would update this guideline please complete a change request form and return to:

Current 3-7 years

Some recommendations may be out of  date, declaration of interests governance may not be in line with current policy.

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