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Emerg. Med. Clin. North Am. · Nov 2018
ReviewThe Emergency Department Diagnosis and Management of Urinary Tract Infection.
- Brit Long and Alex Koyfman.
- Department of Emergency Medicine, San Antonio Military Medical Center, 3841 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA. Electronic address: Brit.long@yahoo.com.
- Emerg. Med. Clin. North Am. 2018 Nov 1; 36 (4): 685-710.
AbstractUrinary tract infection (UTI) is a common infection seen in the emergency department. The spectrum of UTI includes simple versus complicated infection and lower versus upper UTI. No one history or examination finding is definitive for diagnosis. Testing often includes urinalysis and/or urine dipstick, and several pitfalls may occur in interpretation. Urine cultures should be obtained in complicated or upper UTIs but not simple and lower tract UTIs, unless a patient is pregnant. Imaging often is not required. Most patients with simple cystitis and pyelonephritis are treated as outpatients. A variety of potentially dangerous conditions may mimic UTI and pyelonephritis.Published by Elsevier Inc.
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