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URINARY TRACT INFECTION - UNCOMPLICATED
Acute uncomplicated urinary tract infection (UTI) is one of the most common bacterial infections in adults that may involve the lower or upper urinary tract or both.
Acute cystitis is an infection limited to the lower urinary tract while acute pyelonephritis is an infection that involves the upper urinary tract (renal parenchyma & pelvicaliceal system) that usually has significant bacteriuria.
Recurrent UTI is characterized by 2 episodes of uncomplicated UTI in the last 6 months or ≥3 episodes with positive cultures in the last 12 months in patients with no structural or functional abnormalities.

Differential Diagnosis

Urethritis

  • Caused by Neisseria gonorrhoeae, Chlamydia trachomatis, HSV, Candida sp, irritants (eg contraceptive gel)
  • Relatively more common if a woman has had a new sex partner or sex partner has urethral symptoms, past history of a sexually transmitted infection (STI) and symptoms (vaginal discharge, odor, dysuria) were of gradual onset
Vaginitis
  • Suggested by the presence of vaginal discharge or odor, pruritus, dyspareunia, external dysuria and no increased frequency or urgency

Others

  • Interstitial cystitis, pelvic inflammatory disease (PID), structural urethral abnormalities
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