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Guidelines on

Urological Infections
M. Grabe (chairman), T.E. Bjerklund-Johansen, H. Botto, M. Çek, K.G. Naber, R.S. Pickard, P. Tenke, F. Wagenlehner, B. Wullt

© European Association of Urology 2013

TABLE OF CONTENTS
1. INTRODUCTION 1.1 Background 1.2 Bacterial resistance development 1.3 The aim of the guidelines 1.4 Pathogenesis of UTIs 1.5 Microbiological and other laboratory findings 1.6 Methodology 1.6.1 Level of evidence and grade of guideline recommendations 1.6.2 Publication history 1.7 References CLASSIFICATION OF UTIs 2.1 Introduction 2.2 Anatomical level of infection 2.3 Grade of severity 2.4 Pathogens 2.5 Classification of UTI 2.6 Reference UNCOMPLICATED UTIS IN ADULTS 3.1 Summary and recommendations 3.2 Definition 3.2.1 Aetiological spectrum 3.3 Acute uncomplicated cystitis in premenopausal, non-pregnant women 3.3.1 Diagnosis 3.3.1.1 Clinical diagnosis 3.3.1.2 Laboratory diagnosis 3.3.2 Therapy 3.3.3 Follow-up 3.4 Acute uncomplicated pyelonephritis in premenopausal, non-pregnant women 3.4.1 Diagnosis 3.4.1.1 Clinical diagnosis 3.4.1.2 Laboratory diagnosis 3.4.1.3 Imaging diagnosis 3.4.2 Therapy 3.4.2.1 Mild and moderate cases of acute uncomplicated pyelonephritis (Table 3.2) 3.4.2.2 Severe cases of acute uncomplicated pyelonephritis (Table 3.2) 3.4.3 Follow-up 3.5 Recurrent (uncomplicated) UTIs in women 3.5.1 Diagnosis 3.5.2 Prevention 3.5.2.1 Antimicrobial prophylaxis 3.5.2.2 Immunoactive prophylaxis 3.5.2.3 Prophylaxis with probiotics 3.5.2.4 Prophylaxis with cranberry 3.6 UTIs in pregnancy 3.6.1 Diagnosis of UTI in pregnant women 3.6.2 Definition of bacteriuria 3.6.3 Screening 3.6.4 Treatment of asymptomatic bacteriuria and acute cystitis 3.6.5 Duration of therapy 3.6.6 Follow-up 3.6.7 Prophylaxis 3.6.8 Treatment of pyelonephritis 3.6.9 Complicated UTI 3.7 UTIs in postmenopausal women 3.7.1 Risk factors

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