What should be considered prior to beginning treatment of urinary tract infection (UTI) in men?

Updated: Aug 27, 2019
  • Author: John L Brusch, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

As a general rule, all urinary tract infections (UTIs) in men are considered complicated. Therefore, the possibility that infection has ascended to the kidneys must be considered, and treatment regimens must assume that infection of the upper urinary tract has occurred. Urine culture results allow adjustment of the treatment plan if antibiotic sensitivity testing demonstrates a resistant organism.

In elderly patients, pyelonephritis carries a 3% mortality rate. Take a conservative management approach with these patients.

The decision to treat young men who are sexually active for UTI versus sexually transmitted disease (STD) – related urethritis rests primarily on epidemiologic grounds (eg, recent new sexual partner, multiple sexual partners).


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