Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- dysuria
- urgency
- frequency
- suprapubic pain
- costovertebral angle pain
Outros fatores diagnósticos
- hesitancy
- nocturia
- enlarged prostate
- tender prostate
- rectal/perineal pain
- fever/rigors
- urethral discharge
Fatores de risco
- benign prostatic hypertrophy
- urinary tract stones
- urologic surgery, instrumentation
- urethral strictures
- age >50
- previous UTI
- catheterization
- anal sex
- vaginal sex
- recent hospitalization
- uncircumcised
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- dipstick urinalysis (U/A)
- urine microscopy
- urine culture
- Gram stain
Investigações a serem consideradas
- CT renal tract
- ultrasound
- plain x-ray kidneys, ureters, and bladder (KUB)
- intravenous urogram (IVU)
Algoritmo de tratamento
asymptomatic bacteriuria before urologic procedure
not severe and tolerating oral therapy
severe or not tolerating oral therapy
Colaboradores
Autores
Timothy J. Benton, MD
Regional Chairman
Residency Program Director
Associate Professor
Department of Family and Community Medicine
Texas Tech University Health Sciences Center
Permian Basin Campus
Odessa
TX
Declarações
TJB declares that he has no competing interests.
Revisores
Catherine DuBeau, MD
Professor of Medicine
Dartmouth Hitchcock Medical Center
Lebanon
NH
Declarações
CD is a member of the American Geriatrics Society Revision Panel for the Beers criteria for potentially inappropriate medications in older persons; planning committee, speaker, and manuscript co-author for the American Urogynecological Association State of the Science on OAB and cognition; and co-investigator, RELIEF trial (botulinum toxin for refractory overactive bladder in older women, funded by PCORI.
Richard Viken, MD
Professor of Family Medicine and Chairman of the Department of Family Medicine
University of Texas Health Sciences Center
Tyler
TX
Declarações
RV declares that he has no competing interests.
Robert Pickard, MD, FRCS (Urol)
Professor of Urology
Institute of Cellular Medicine
Newcastle University
Newcastle upon Tyne
UK
Declarações
RP declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
Nicolle LE, Gupta K, Bradley SF, et al. Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2019 May 2;68(10):e83-e110.Texto completo Resumo
Kranz J, Bartoletti R, Bruyère F, et al. European Association of urology guidelines on urological infections: summary of the 2024 guidelines. Eur Urol. 2024 Jul;86(1):27-41.Texto completo Resumo
European Association of Urology. Guidelines on urological infections. Apr 2024 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Benign prostatic hypertrophy (BPH)
- Prostatitis
- Pyelonephritis
Mais Diagnósticos diferenciaisDiretrizes
- Guidelines on urological infections
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Mais DiretrizesFolhetos informativos para os pacientes
Urinary tract infections in men
Mais Folhetos informativos para os pacientes
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