History and exam

Key diagnostic factors

common

dysuria

Ask if the patient experiences a burning pain when passing urine.

Dysuria is 1 of the 3 key diagnostic signs and symptoms of UTI in women aged under 65 years without a catheter (along with new nocturia and cloudy-looking urine).[4]

  • In patients with all 3 of these signs and symptoms, 82% will have a positive urine culture; with 2 of the signs/symptoms, 74% will have a positive urine culture; and with only 1 of these signs/symptoms, 68% will have a positive urine culture.[49] 

New-onset dysuria is a key diagnostic symptom in women aged over 65 years without a catheter.[4]

  • The presence of new-onset dysuria alone indicates that UTI is likely.[4]

new nocturia

Ask if the patient is passing urine more often than usual at night.

New nocturia is 1 of the 3 key diagnostic signs and symptoms of UTI in women under 65 years without a catheter (along with dysuria and cloudy-looking urine).[4] 

  • In patients with all 3 of these signs and symptoms, 82% will have a positive urine culture; with 2 of the signs/symptoms, 74% will have a positive urine culture; and with only 1 of these signs/symptoms, 68% will have a positive urine culture.[49] 

New nocturia may be a sign of other problems, such as urinary retention and diabetes.

cloudy-looking urine

Check if the urine is cloudy to the naked eye.

Cloudy-looking urine is 1 of the 3 key diagnostic signs/symptoms of UTI in women under 65 years without a catheter (along with dysuria and new nocturia).[4] 

  • In patients with all 3 of these signs and symptoms, 82% will have a positive urine culture; with 2 of the signs/symptoms, 74% will have a positive urine culture; and with only 1 of these signs/symptoms, 68% will have a positive urine culture.[49] 

risk factors

Ask about any risk factors present. Risk factors vary according to the patient’s age.[26]

In premenopausal women, ask about:[26]

  • History of UTI[55]

  • Positive family history

    • Having a mother with a history of UTI is associated with a two- to fourfold increase in risk of recurrent UTI.[22]

  • Sexual activity[56][55]

  • Diaphragm use, especially when used with spermicide[55]

  • Pregnancy[36]

    • Carry out a pregnancy test if the woman is unsure.

    • Urinary tract infections are common during pregnancy. Infections and untreated asymptomatic bacteriuria during pregnancy have been associated with an increased risk of pyelonephritis, premature delivery, and fetal mortality.[36]

In postmenopausal women, ask about:[26]

  • Oestrogen deficiency

    • However recurrent UTI may be a symptom of vaginal atrophy.

    • Changes caused by oestrogen deficiency may predispose the urinary tract to infection.[53]

  • History of UTI[55]

  • Incontinence

  • Presence of a cystocele.

In older, institutionalised women ask about:[26]

  • Urinary catheterisation[2]

  • Incontinence

  • Medication, including recent antibiotics

  • Functional status.

Consider diabetes as a risk factor in any age group.[2][55]

Ask women with a catheter how long it has been in place. The duration of catheterisation is an important risk factor for the development of catheter-associated UTI.[2]

  • The longer the catheter is in situ, the higher the likelihood of infection.[57][2]

  • After 1 month nearly all patients with catheters have bacteriuria.[57]

fever

In women aged over 65 years, an abnormal temperature and any non-specific signs of infection could indicate a UTI.[4]

  • A temperature of 1.5°C above normal twice in the last 12 hours is a sign of UTI, when combined with another new-onset urinary symptom.[4][54]

  • A temperature of ≥37.9°C or ≤36°C may indicate pyelonephritis or sepsis.

In women aged under 65 years, a temperature of ≥37.9°C may indicate pyelonephritis or sepsis.[4]

Other diagnostic factors

common

urgency

Urgency in women aged under 65 years and new urgency in women over 65 years is a common symptom that can indicate a UTI. It can also be a sign of an overactive bladder.[4]

visible haematuria

In women aged under 65 years, visible haematuria can be an indication for UTI.[4][2] However, when it is a finding on its own, consider causes other than a UTI and investigate as appropriate.[35]

Refer patients with persistent haematuria to a urologist after resolution of UTI.[4]

Visible haematuria may be a symptom in patients with catheter-associated UTI.[2]

frequency

This is a common symptom that can indicate a UTI.[4]

suprapubic pain or tenderness

This increases the probability of an UTI.[4]

Pelvic discomfort or suprapubic pain or tenderness may be noted in patients with catheter-associated UTI.[2]

flank pain

May be noted in patients with catheter-associated UTI.[2]

costo-vertebral angle tenderness

May be noted in patients with catheter-associated UTI.[2]

new incontinence

In women aged over 65 years, this can indicate a UTI when combined with another symptom.[4][54]

new or worsening delirium/debility

In women aged over 65 years, this can indicate a UTI when combined with another symptom in this group.[54] Also consider other causes of delirium (use the PINCH ME mnemonic - pain, other infection, poor nutrition, constipation, poor hydration, other medications, environment change).[4]

Altered mental state may be noted in patients with catheter-associated UTI.[2]

loss of diabetic control

A general sign of infection. It is not specific to UTI.

malaise

Malaise or lethargy may be associated with UTI in a patient with a catheter.[2]

rigors

May be noted in patients with catheter-associated UTI.[2]

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