Urinary%20tract%20infection%20in%20women%20-%20complicated Management

• The decision to hospitalize the patient will depend on the severity of the illness

Consider hospitalization if any of the following exist:

• Patient with complicated UTI and unable to maintain oral hydration or take oral medications
• Concerns regarding patient adherence to treatment
• Uncertainty of diagnosis, eg suspected urinary tract obstruction
• Severe illness with high fever and severe pain
• Marked debility and signs of sepsis

Outpatient

• Patients who do not meet the above categories may be considered for treatment on an outpatient basis

• Perform urine analysis to ensure that causative agent has been eradicated
• A urine culture obtained 1-2 weeks after completing therapy and thereafter as clinically indicated may also be done
• Further genitourinary investigation should be made in cases of:
  
  • Delayed or incomplete response to appropriate antimicrobial therapy
  • Early recurrence of infection after therapy
• Further follow-up to identify and correct anatomical, functional or metabolic abnormalities as indicated