Young, healthy adults usually require 3-5 days' treatment. Pregnant women and patients with DM, chronic disease, or sickle cell disease usually require the complete 7-10 day course. If patients are not asymptomatic in 3 days, consider drug failure, obstruction due to stones, or renal abscess. Prevention Women should be instructed to wipe themselves from the front to the rear after urinating and to void after sex. Adult Males UTI in the male requires a GU workup to rule out structural abnormalities.
Antibiotic choices are the same as for females.
Patients usually present with nonspecific symptoms ranging from FTT, lethargy, and fever, to sepsis. Neonates with lethargy and fever must be admitted for IV antibiotics. All neonates with UTI require a GU workup to rule out congenital anomalies. Children Etiology Infections of the urinary tract in children range from asymptomatic bacteriuria to severe symptomatic pyelonephritis. Females have a higher incidence of UTI because of a short urethra, poor perineal hygiene, and infrequent voiding.