Urinary Tract Infection in Women

• New Guidelines for Management of Urinary Tract Infection in Nonpregnant Women
  

• Screening for and treatment of asymptomatic bacteriuria is not recommended in nonpregnant, premenopausal women.
• When resistance rates are more than 15% to 20%, antibiotic class should be changed.
• For acute pyelonephritis, inpatient or outpatient treatment should continue for 14 days.
• Women with uncomplicated acute bacterial cystitis, including women 65 years or older, should receive antibiotics for 3 days.
• For initial treatment of symptomatic lower UTI with pyuria, bacteriuria, or both, urine culture is not required.
• For treatment of acute uncomplicated cystitis, beta-lactams, including first-generation cephalosporins and amoxicillin, are less effective than the preferred antimicrobials listed as treatment regimens.
• To diagnose bacteriuria in symptomatic patients, decreasing the colony count to 1000 to 10,000 bacteria per milliliter will improve sensitivity without significantly reducing specificity.
• A proposed performance measure is the percentage of women diagnosed with acute pyelonephritis who receive antimicrobial treatment for 14 days.

source: http://www.medscape.com/viewarticle/571545?src=top10