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Emerg Med Clin North Am. 2011 Aug;29(3):539-52. doi: 10.1016/j.emc.2011.04.001.

Diagnosis and management of urinary tract infection and pyelonephritis.

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1
Department of Emergency Medicine, Georgetown University Hospital & Washington Hospital Center, Georgetown University School of Medicine, Washington, DC 20007, USA. david.lane@gunet.georgetown.edu

Abstract

Urinary tract infections (UTIs) are the most common bacterial infections treated in the outpatient setting and range in severity from minimally symptomatic cystitis to severe septic shock in a wide array of patients. Diagnosis of uncomplicated cystitis can be inferred from history and physical, and confirmed by urinalysis. Appropriate antimicrobial therapy should rapidly improve symptoms in all UTIs. Treatment can be further tailored according to severity of illness, analysis of individualized risk factors, and antimicrobial resistance patterns. This article discusses treatment options in light of bacterial resistance in the twenty-first century.

PMID:
21782073
DOI:
10.1016/j.emc.2011.04.001
[Indexed for MEDLINE]
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