Complications
Risk factors appropriate to adult men for developing renal damage include prostatitis, obstruction, the presence of stones, and the presence of indwelling catheters.[5]
These patients are likely to have recurrent infections warranting imaging of the urinary tract. Urology consultation should be obtained.
Upper tract infection or pyelonephritis may occur in patients with UTI. Seventy-five percent of patients with pyelonephritis will have had UTI previously.[5]
These patients may require hospitalisation for intravenous antibiotics unless otherwise systemically stable.
If unresponsive to initial antibiotic therapy, then peri-renal abscess must be ruled out with computed tomography (CT). Urology consultation is necessary for surgical drainage if an abscess is present.
Bacteraemia occurs infrequently with UTI; however, instrumentation of the urinary tract or the presence of indwelling urinary catheters increases the risk.[5]
Early recognition and prompt, tailored management is indicated, in line with local guidelines.
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