Figure 1.

A 3-question support tool, Question 1: Is the patient pregnant? Is the request before an endourological procedure? Did the patient undergo a renal transplant in the past 60 days? If yes, the criteria for treatment of asymptomatic bacteriuria is fulfilled and a urinalysis and urine culture are appropriate regardless of symptoms. Question 2: Does the patient have localized urinary symptoms such as urgency, frequency, dysuria, suprapubic pain, pelvic discomfort, or flank pain? If yes, a urinary tract infection is highly suspected, and a urinalysis and urine culture are appropriate. Question 3: Does the patient have a fever, clinical instability, or an acute change in his mental status such as delirium? If yes, and if there is no alternate explanation for the symptoms, a urinalysis and a urine culture are appropriate. In this case, a UTI is a diagnosis of exclusion when no other etiology is present.