AUA & CUA Recurrent UTI (2019): Difference between revisions
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***** '''Acute-onset dysuria, particularly when associated with new or worsening storage symptoms, remains a reliable diagnostic criterion in older females''' living both in the community and in long-term care facilities. | ***** '''Acute-onset dysuria, particularly when associated with new or worsening storage symptoms, remains a reliable diagnostic criterion in older females''' living both in the community and in long-term care facilities. | ||
**In this guideline, the term UTI will refer to culture-proven acute bacterial cystitis and associated symptoms unless otherwise specified. | **In this guideline, the term UTI will refer to culture-proven acute bacterial cystitis and associated symptoms unless otherwise specified. | ||
*'''Differential Diagnosis (10):''' | *'''<span style="color:#ff0000">Differential Diagnosis (10):</span>''' | ||
*# '''Interstitial cystitis/bladder pain syndrome''' | *# '''<span style="color:#ff0000">Interstitial cystitis/bladder pain syndrome</span>''' | ||
*# ''' | *# '''<span style="color:#ff0000">Overactive Bladder</span>''' | ||
*# '''Urinary calculi''' | *# '''<span style="color:#ff0000">Urinary calculi</span>''' | ||
*# '''Infectious bacterial or fungal vaginitis''' | *# '''<span style="color:#ff0000">Infectious bacterial or fungal vaginitis</span>''' | ||
*# '''Vulvar dermatitis''' | *# '''<span style="color:#ff0000">Vulvar dermatitis</span>''' | ||
*# '''Non-infectious vulvovestibulitis''' | *# '''<span style="color:#ff0000">Non-infectious vulvovestibulitis</span>''' | ||
*# '''Vulvodynia''' | *# '''<span style="color:#ff0000">Vulvodynia</span>''' | ||
*# '''Hypertonic pelvic floor muscle dysfunction''' | *# '''<span style="color:#ff0000">Hypertonic pelvic floor muscle dysfunction</span>''' | ||
*# '''Genitourinary syndrome of menopause''' | *# '''<span style="color:#ff0000">Genitourinary syndrome of menopause</span>''' | ||
*# '''CIS of the bladder''' (less commonly) | *# '''<span style="color:#ff0000">CIS of the bladder</span>''' (less commonly) | ||
* A lack of correlation between microbiological data and symptomatic episodes should prompt a diligent consideration of alternative/comorbid diagnoses (many females with gross hematuria may be incorrectly treated for a UTI when they should be evaluated for bladder cancer; a negative culture would prompt further investigation of GH) | * A lack of correlation between microbiological data and symptomatic episodes should prompt a diligent consideration of alternative/comorbid diagnoses (many females with gross hematuria may be incorrectly treated for a UTI when they should be evaluated for bladder cancer; a negative culture would prompt further investigation of GH) | ||