Assessment

• Conduct a full clinical assessment before making a diagnosis of UTI.
• Consider and exclude other causes of symptoms such as sepsis or pyelonephritis.
• Check for all new signs and symptoms of UTI — new onset dysuria alone, or two or more of:
  • Temperature 1.5°C above normal twice in the last 12 hours.
  • New frequency or urgency.
  • New incontinence.
  • New or worsening delirium/debility.
  • New suprapubic pain.
  • Visible haematuria.

Investigations

• Do not perform a urine dipstick or microscopy to diagnose UTI in men over 65 (or if theres an indwelling catheter in place)
• Confirm the diagnosis by urine culture and sensitivity