Managing Complicated Urinary Tract Infections

Updated IDSA guidelines include a stepwise approach to antibiotic selection, recommendations on switching to oral therapy, and shorter treatment courses.

Sponsoring Organization: Infectious Diseases Society of America (IDSA)

Background and Objective

IDSA last issued urinary tract infection (UTI) guidelines in 2010 with its recommendations for treatment of uncomplicated cystitis and pyelonephritis in women. Now, IDSA has revised its UTI classification: Uncomplicated UTIs are those confined to the bladder in afebrile persons; complicated UTIs are infections beyond the bladder, including pyelonephritis, febrile or bacteremic UTIs, and catheter-associated UTIs. IDSA has also provided recommendations for management of complicated UTIs.

Key Recommendations

Clinicians should select empiric antibiotics based on a stepwise approach that accounts for severity of illness, risk factors for resistance, p…

Reviewing Author

Rajesh T. Gandhi, MD

Disclosures

Grant/Research SupportNIH

Editorial BoardsUpToDate; ID Images (idimages.org); Infectious Diseases Society of America COVID-19 Treatment Guidelines; International Antiviral Society–USA (Guidelines Committee)

Leadership Positions in Professional SocietiesHIV Medicine Association; Infectious Diseases Society of America (Board of Directors)