Clinical Practice Guidelines for the Antibiotic Treatment of Community-Acquired Urinary Tract Infections

Cheol In Kang; Jieun Kim; Dae Won Park; Baek Nam Kim; U Syn Ha; Seung Ju Lee; Jeong Kyun Yeo; Seung Ki Min; Heeyoung Lee; Seong Heon Wie

doi:10.3947/ic.2018.50.1.67

Clinical Practice Guidelines for the Antibiotic Treatment of Community-Acquired Urinary Tract Infections

Infect Chemother. 2018 Mar;50(1):67-100. doi: 10.3947/ic.2018.50.1.67.

Authors

Cheol In Kang^#¹, Jieun Kim^#², Dae Won Park^#³, Baek Nam Kim^#⁴, U Syn Ha^#⁵, Seung Ju Lee⁶, Jeong Kyun Yeo⁷, Seung Ki Min⁸, Heeyoung Lee⁹, Seong Heon Wie¹⁰

Affiliations

¹ Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
² Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea.
³ Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
⁴ Division of Infectious Diseases, Department of Internal Medicine, Inje University Sanggye-Paik Hospital, Seoul, Korea.
⁵ Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
⁶ Department of Urology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
⁷ Department of Urology, Inje University College of Medicine, Pusan, Korea.
⁸ Department of Urology, National Police Hospital, Seoul, Korea.
⁹ Center for Preventive Medicine and Public Health, Seoul National University Bundang Hospital, Seongnam, Korea.
¹⁰ Division of Infectious Diseases, Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. wiesh@chol.com.

^# Contributed equally.

Abstract

Urinary tract infections (UTIs) are infectious diseases that commonly occur in communities. Although several international guidelines for the management of UTIs have been available, clinical characteristics, etiology and antimicrobial susceptibility patterns may differ from country to country. This work represents an update of the 2011 Korean guideline for UTIs. The current guideline was developed by the update and adaptation method. This clinical practice guideline provides recommendations for the diagnosis and management of UTIs, including asymptomatic bacteriuria, acute uncomplicated cystitis, acute uncomplicated pyelonephritis, complicated pyelonephritis related to urinary tract obstruction, and acute bacterial prostatitis. This guideline targets community-acquired UTIs occurring among adult patients. Healthcare-associated UTIs, catheter-associated UTIs, and infections in immunocompromised patients were not included in this guideline.

Keywords: Cystitis; Guideline; Prostatitis; Pyelonephritis; Urinary Tract Infection.