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 hematuria, 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 urologic procedures.

Urinary tract infection (UTI) is an inflammatory reaction of the urinary tract epithelium in response to pathogenic microorganisms, 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