Treating urinary tract infections

Currently, there is insufficient evidence to support antibiotic-sparing approaches such as delayed prescribing of antibiotics,1-3 watchful waiting,4,5 and symptomatic management alone,3,6 for the treatment of symptomatic UTIs.

In most symptomatic patients, begin empirical treatment and order microscopy, culture and antimicrobial susceptibility testing to confirm the diagnosis.7,8 If available, use the individual’s most recent susceptibility results to guide empirical antibiotic choice.7