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OASCN Resources | Urinary Tract Infection (UTI)

These resources were developed by the OASCN Collaborative between 2021-2022.

Relevant Didactics:

  • You-TI and Antibiotic Stewardship: Chances, with challenges (Ken Zangwill): Slides | Video

Relevant Learning Points:

Learning Point #51: There is no guideline on the management of UTI in the NICU.

Learning Point #52: A negative urinalysis does not rule out UTI; a colony count >1000 on SPA and >50,000 for catheterization (or >10,000 with pyuria) is considered a probable UTI.

Learning Point #53: A urine culture should be sent to lab ASAP, or at least refrigerated ASAP. If more than 1-2hrs in room temperature transport, the results may be falsely positive.

Learning Point #54: Empiric therapy for UTI can be what is usually used in your NICU for rule out sepsis (including ampicillin and gentamicin alone) with de-escalation once susceptibility results are back.

Learning Point #55: Antibiotic prophylaxis is not indicated for a first time UTI, except possibly in the case of severe GU anomalies.