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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:

  • Nil

Immediately contact on-call registrar or service to arrange an immediate urology assessment (seen within 7 days) for:

  • Nil

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
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)
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
Indicative triage category
Indicative triage category
Category 1
Appointment within 30 days
  • 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 
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
Category 3
Appointment within 365 days
  • Recurrent symptomatic UTI (women > 3 per year, men > 1 per year)
Last reviewed: 05-01-2024
wa.gov.au