Division UTI-B: not microbiologically confirmed symptomatic UTI

Patient has at least two of the following with no other recognized cause: fever (> 38 °C), urgency, frequency, dysuria, or suprapubic tenderness

AND

at least one of the following:

• Positive dipstick for leukocyte esterase and/or nitrate

• Pyuria urine specimen with ≥ 10⁴ WBC/ml or ≥ 3 WBC/high-power field of unspun urine

• Organisms seen on Gram stain of unspun urine

• At least two urine cultures with repeated isolation of the same uropathogen (Gram-negative bacteria or Staphylococcus saprophyticus) with ≥ 10² colonies/ml urine in nonvoided specimens

• ≤ 10⁵ colonies/ml of a single uropathogen (Gram-negative bacteria or Staphylococcus saprophyticus) in a patient being treated with effective antimicrobial agent for a urinary infection

• Physician diagnosis of a urinary tract infection

• Physician institutes appropriate therapy for a urinary infection

Asymptomatic bacteriuria should not be reported, but bloodstream infections secondary to asymptomatic bacteriuria are reported as BSI with source (origin) S-UTI

A urinary tract infection is defined as catheter-associated if an indwelling urinary catheter was present (even intermittently) in the 7 days preceding the onset of infection