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. Author manuscript; available in PMC: 2021 Mar 9.
Published in final edited form as: Nat Rev Microbiol. 2020 Feb 18;18(4):211–226. doi: 10.1038/s41579-020-0324-0

Table 1:

Classification of urinary tract infections, symptoms, host risk factors and treatment. [Au: would it work to set the table up as indicated?]

Infection type Cystitis (bladder infection) Pyelonephritis (kidney infection)
Classification Uncomplicated UTI
Complicated UTI
Complicated UTI
Symptoms - Painful urination (dysuria)
- Urinary frequency
- Urinary urgency
- Suprapubic pain
- Bloody urine (hematuria)
- Fever
- Flank pain
- Costovertebral angle tenderness
Host risk factors - Positive individual UTI history
- Positive family history
- Sexual activity
- New sexual partner
- Postmenopausal age
- Vaginal dysbiosis
- Recent antibiotic use
- Positive individual UTI history
- Positive family history
- Sexual activity
- New sexual partner
- Postmenopausal age
- Vaginal dysbiosis
- Recent antibiotic use
- Anatomic urogenital abnormalities
- Vesicoureteral reflux
- Diabetes mellitus
- Pregnancy
- Catheterization
- Urolithiasis
- Immunosuppression
- History of pyelonephritis
Diagnosis - Positive urine culture
- Pyuria
- Hematuria*
- Positive urine culture
- Pyuria
- Hematuria*
Treatment (low MDR risk**) Empiric treatment with nitrofurantoin or fosfomycin Treatment with ciprofloxacin or levofloxacin
Treatment (high MDR risk**) Treatment with oral β-lactams and fluoroquinolones until culture sensitivity results are acquired Treatment with ceftriaxone or ertapenem and trimethoprim-sulfamethoxazole, Augmentin or a 3rd-generation cephalosporin

MDR, multi-drug resistant; UTI, urinary tract infection.

*

Diagnosis and treatment of acute simple cystitis is often alone, although symptoms are not considered diagnostic.

**

MDR risk factors include an extended stay at a hospital facility, recent travel to India, Israel, Spain and Mexico, and/or recent antibiotic use.