Editing Urinary Tract Infections (section)

=== Management ===
* '''Asymptomatic'''
** '''Not recommended'''
** '''The treatment of asymptomatic bacteriuria to improve incontinence has not been justified'''
* '''Symptomatic'''
** '''For elderly patients with symptomatic UTI, 7 days of therapy is recommended.'''
*** The goal in this population is to eliminate symptoms but not sterilize the urine
* '''Other scenarios'''
** '''Bacteriuria that leads to UTIs in elderly in the presence of underlying structural urinary tract abnormalities''' '''(e.g., obstruction with hydronephrosis) or systemic conditions (e.g., severe diabetes mellitus) are clinically significant, can''' '''lead to renal failure, and require prompt therapy.'''
** '''UTIs caused by urea-splitting bacteria, such as Proteus or Klebsiella species that cause formation of infection stones, may also lead to severe renal damage.'''
*** '''Urea in the urine is split into large amounts of ammonia by urea-splitting bacteria which is absorbed systemically and may result in encephalopathy or even coma at high levels, particularly in obstruction'''