Recurrent, uncomplicated urinary tract infection (UTI)
Recurrent, uncomplicated urinary tract infection (UTI) – Adult
Emergency and immediate referrals
Referral to Emergency Department
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergency medical advice if in a remote region:
Immediately contact on-call registrar or service to arrange an immediate urology assessment (seen within 7 days) for:
To contact the relevant service, please see HealthPathways: Acute Urology Assessment
Presenting issues |
- Women with symptoms and 3 or more microbiologically confirmed UTIs in a year
- Women with symptoms and 2 or more microbiologically confirmed UTIs in 6 months
- Men with microbiologically confirmed UTIs
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Mandatory referral information (referral will be returned if this information is not included) |
Investigations
- MSU or CSU M/C/S and history of previous MSU/CSU M/C/S results
- Urinary tract USS including post void residual
- U&Es
- PSA result (males)
If unable to attach reports, please include relevant information/findings in the body of the referral
Referrer to state reason if not able to include mandatory information in referral (e.g. patient unable to access test due to geographical location or financial cost)
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Highly desirable referral information |
- BGL
- Bladder diary
- Female menopause status
- If peri/postmenopausal woman, details of any hormone replacement therapy use and response
- STI screen if appropriate
- Details of previous treatment and outcome
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Indicative triage category
Indicative triage category |
Category 1
Appointment within 30 days |
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Recurrent symptomatic (women > 3 per year, men > 1 per year) or persistent UTI with abnormal urinary tract USS e.g. hydronephrosis, stones, scarring, soft tissue lesion
- Recent history (3 months) of admission for severe urinary tract sepsis
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Category 2
Appointment within 90 days |
- Recurrent symptomatic (women > 3 per year, men > 1 per year) or persistent UTI and any of the following:
- increased residuals > 100ml
- upper urinary tract infections
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Category 3
Appointment within 365 days |
- Recurrent symptomatic UTI (women > 3 per year, men > 1 per year)
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More information
Email: DOHSpecialistRAC@health.wa.gov.au