Society guideline links: Urinary tract infections in adults

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Urinary tract infections in children" and "Society guideline links: Urinary catheters" and "Society guideline links: Urinary tract infections in solid organ transplant recipients".)

Canada

●American Urological Association (AUA)/Canadian Urological Association (CUA)/Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU): Guideline on recurrent uncomplicated urinary tract infections in women (2022)

●Choosing Wisely Canada: Don't collect urine specimens for culture from adults who lack symptoms localizing to the urinary tract or fever unless they are pregnant or undergoing genitourinary instrumentation where mucosal bleeding is expected (2021)

●Choosing Wisely Canada: Don't place or leave in place a urinary catheter without reassessment (2021)

●Choosing Wisely Canada: Don't place, or leave in place, urinary catheters without an acceptable indication (such as critical illness, obstruction, palliative care) (2021)

●Choosing Wisely Canada: Don't prescribe antibiotics for asymptomatic bacteriuria (ASB) in non-pregnant patients (2021)

●Choosing Wisely Canada: Don't treat asymptomatic urinary tract infections in catheterized patients (2021)

●Choosing Wisely Canada: Don't insert an indwelling urinary catheter or leave it in place without daily assessment (2020)

●Choosing Wisely Canada: Don't use a bag for collection of urine cultures to diagnose urinary tract infections (2020)

●Choosing Wisely Canada: Don't use antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present (2020)

●Choosing Wisely Canada: Don't do a urine dip or send urine specimens for culture unless urinary tract symptoms are present (2019)

●CUA: Guideline on the diagnosis and treatment of interstitial cystitis/bladder pain syndrome (2016)

United States

●American College of Radiology (ACR): ACR Appropriateness Criteria on acute pyelonephritis (2022)

●American Urological Association (AUA)/Canadian Urological Association (CUA)/Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU): Guideline on recurrent uncomplicated urinary tract infections in women (2022)

●American College of Physicians (ACP): Appropriate use of short-course antibiotics in common infections – Best practice advice (2021)

●ACR: ACR Appropriateness Criteria on recurrent lower urinary tract infections in females (2020)

●Choosing Wisely: Don't obtain urine tests until clinical criteria are met (2013, updated 2019)

●Healthcare Infection Control Practices Advisory Committee (HICPAC): Guideline for prevention of catheter-associated urinary tract infections (2009, updated 2019)

●Choosing Wisely: Avoid ordering follow-up urine cultures after treatment for an uncomplicated urinary tract infection (UTI) in patients that show evidence of clinical resolution of infection (2018)

●Choosing Wisely: Don't place or maintain a urinary catheter in a patient unless there is a specific indication to do so (2014, updated 2018)

●Choosing Wisely: Don't prescribe antimicrobials to patients using indwelling or intermittent catheterization of the bladder unless there are signs and symptoms of urinary tract infection (2015, sources updated 2017)

●Choosing Wisely: Avoid using a fluoroquinolone antibiotic for the first-line treatment of uncomplicated urinary tract infections (UTIs) in women (2015)

●Choosing Wisely: Don't treat asymptomatic bacteruria with antibiotics (2015)

●Society for Healthcare Epidemiology of America (SHEA): Strategies to prevent catheter-associated urinary tract infections in acute care hospitals, update (2014)

●Choosing Wisely: Avoid placing indwelling urinary catheters in the emergency department for either urine output monitoring in stable patients who can void, or for patient or staff convenience (2013)

●Choosing Wisely: Don't place, or leave in place, urinary catheters for incontinence or convenience or monitoring of output for non-critically ill patients (acceptable indications: critical illness, obstruction, hospice, perioperatively for <2 days for urologic procedures; use weights instead to monitor diuresis) (2013)

●Choosing Wisely: Don't use antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present (2013)

●Infectious Diseases Society of America (IDSA) and European Society for Microbiology and Infectious Diseases (ESCMID): International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women, 2010 update (ARCHIVED; published 2011)

●IDSA: International clinical practice guidelines for the diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults (ARCHIVED; published 2010)

Europe

●European Association of Urology (EAU): Guidelines on urological infections, update (2022)

●Infectious Diseases Society of America (IDSA) and European Society for Microbiology and Infectious Diseases (ESCMID): International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women, 2010 update (ARCHIVED; published 2011)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Guideline on pyelonephritis (acute) – Antimicrobial prescribing (2018)

●NICE: Guideline on urinary tract infection (catheter-associated) – Antimicrobial prescribing (2018)

●NICE: Guideline on urinary tract infection (lower) – Antimicrobial prescribing (2018)

●NICE: Guideline on urinary tract infection (recurrent) – Antimicrobial prescribing (2018)

●NICE: Quality standard on urinary tract infections in adults (2015)

Australia-New Zealand

●Choosing Wisely Australia: Do not use antibiotics in asymptomatic bacteriuria (2016)

●Choosing Wisely Australia: Do not use antimicrobials to treat bacteriuria in older adults where specific urinary tract symptoms are not present (2016)

●Choosing Wisely Australia: Don't use urinary catheters to manage urinary incontinence unless all other appropriate options have proved to be ineffective or to prevent wound infection or skin breakdown (2016)

●Choosing Wisely Australia: Do not perform surveillance urine cultures or treat bacteriuria in elderly patients in the absence of symptoms or signs of infection (2015)

●Australasian Society for Infectious Disease (ASID) Healthcare Infection Control Special Interest Group (HICSIG)/Australian Infection Control Association (AICA): Position statement on preventing catheter-associated urinary tract infections in patients (2011)

Japan

●[In Japanese] Choosing Wisely Japan: About urinary tract infections (UTIs) in the elderly (2018)

●[In English] Japanese Association for Infectious Diseases (JAID)/Japanese Society of Chemotherapy (JSC): Guidelines for clinical management of infectious disease 2015 − Urinary tract infection/male genital infection (published 2017)

●[In English] JSC and JAID: Japanese guideline for clinical research of antimicrobial agents on urogenital infections, 2nd edition (2016)

●[In Japanese] JAID/JSC: Infectious diseases treatment guidelines 2015 – Urinary tract infectious and male genital infections (published 2016)