Definitions-urinary tract infections

Asymptomatic bacteriuria:

presence of bacteria in urine without signs or sx of infection

Uncomplicated:

confined to bladder. No upper tract or systemic infection signs.

Complicated:

  • extends beyond bladder (pyelonephritis, renal/perinephric abscess, prostatitis)
  • with symptoms of fever, rigors, malaise, flank pain, CVA tenderness or pelvic/perineal pain.
  • More likely to develop bacteremia or sepsis.
  • Men
  • those w/ nephrolithiasis
  • strictures
  • stents
  • urinary diversions
  • immunosupp
  • DM, are not automatically complicated
  • Pregnant & renal Tx are considered complicated.