Abstract
Q1 How does urinary tract infection present clinically?
Acute cystitis is the most common presentation. Elderly patients frequently present with asymptomatic bacteriuria. Acute pyelonephritis is suggested by the triad of fever with loin pain and loin tenderness. Acute prostatitis may cause pain or achiness in the abdomen above the pubic bone, in the lower back, in the perineum or testicles, in addition to symptoms of UTI. Urinary tract infection is an important cause of gram negative septicaemia in patients who are admitted to hospital. The full spectrum of presentations of urinary tract infection is shown the Box 31.1.
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Further Reading
Management of suspected bacterial urinary tract infection in adults. SIGN Guideline 88. 2012. http://www.sign.ac.uk/guidelines/fulltext/88/index.html. Accessed 30 Sept 2014.
Ninan S, et al. Investigation of suspected urinary tract infection in older people. BMJ. 2014;348:g4070.
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Findlay, M., Isles, C. (2015). Urinary Tract Infection in Adults. In: Clinical Companion in Nephrology. Springer, Cham. https://doi.org/10.1007/978-3-319-14868-7_31
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DOI: https://doi.org/10.1007/978-3-319-14868-7_31
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