Urinary tract infections in men

Rarely occurs before 50 years of age.

Often associated with abnormal structure or function of the urinary tract (complicated UTI).

Catheter-associated UTI is the most common cause of nosocomial infection.

Imaging of the urinary tract is recommended for men with persistent haematuria, voiding dysfunction without a clearly identifiable cause such as benign prostatic hyperplasia (BPH), failure of initial therapy, or signs of upper tract infection.

Should generally be treated with a fluoroquinolone antibiotic for 7 to 14 days. Asymptomatic bacteriuria does not require treatment except before urological procedures.

Urinary tract infection (UTI) is an inflammatory reaction of the urinary tract epithelium in response to pathogenic micro-organisms, most commonly bacteria.[1]Schaeffer AJ. Infections of the urinary tract. In: Walsh PC, ed. Campbells' urology, 8th ed. Philadelphia, PA: Saunders; 2002. The diagnosis is confirmed when urine obtained from a symptomatic male demonstrates growth of a significant amount (≥10^2 colony-forming units [CFU]/mL) of one organism, or a predominance of one organism, when cultured.[2]Whelan P. Manage urinary tract infections. Practitioner. 2006;250:38,41,43. http://www.ncbi.nlm.nih.gov/pubmed/17036917?tool=bestpractice.com [3]Lipsky BA, Schaberg DR. Managing urinary tract infections in men. Hosp Prac. 2000;35:53-59. http://www.ncbi.nlm.nih.gov/pubmed/10645989?tool=bestpractice.com