Table 1.

Criteria for symptomatic UTI in elderly patients with comorbidities

Noncatheterized

Catheterized

Minimum criteria include 1 of the following: • Acute dysuria or acute pain, swelling or tenderness of testes, epididymis or prostate OR • Fever (≥38°C or increase of at least 1.1°C above baseline), rigors or leukocytosis and at least 1 of the following symptoms (see below) OR • At least 2 of the following symptoms: • New or increased frequency • New or increased urgency • New or increased incontinence • Suprapubic pain • Acute flank pain or tenderness • Gross hematuria

Minimum criteria include no alternative diagnosis AND 1 of the following: • Fever (≥38°C or 1.1°C above baseline), rigors or new-onset hypotension • Leukocytosis and either an acute change in mental status or acute functional decline • New-onset flank or suprapubic pain or tenderness • Purulent discharge from catheter site • Acute pain, swelling or tenderness of testes, epididymis or prostate