Society guideline links: Urinary tract infections in adults

Introduction — 

This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately:

●(See "Society guideline links: Urinary tract infections in children".)

●(See "Society guideline links: Asymptomatic bacteriuria in adults".)

●(See "Society guideline links: Urinary tract infections in solid organ transplant recipients".)

●(See "Society guideline links: Urinary catheters".)

Canada

●Choosing Wisely Canada: Don't do a urine dip or urine culture unless there are clear signs and symptoms of a urinary tract infection (UTI) (2024)

●Choosing Wisely Canada: Don't order urine cultures or treat bacteriuria in persons with neurogenic bladder unless there are signs or symptoms of urinary tract infection (2024)

●American Urological Association (AUA)/Canadian Urological Association (CUA)/Society of Urodynamics, Female Pelvic Medicine, and Urogenital Reconstruction (SUFU): Guideline on recurrent uncomplicated urinary tract infections in women (2022)

●Choosing Wisely Canada: Don't collect urine specimens for culture from adults who lack symptoms localizing to the urinary tract or fever unless they are pregnant or undergoing genitourinary instrumentation where mucosal bleeding is expected (2022)

●Choosing Wisely Canada: Don't use a bag for collection of urine cultures to diagnose urinary tract infections (2022)

●Choosing Wisely Canada: Don't use antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present (2022)

United States

●American College of Obstetricians and Gynecologists (ACOG): Clinical consensus on urinary tract infections in pregnant individuals (2023)

●Society for Healthcare Epidemiology of America (SHEA)/Infectious Diseases Society of America (IDSA)/Association for Professionals in Infection Control and Epidemiology (APIC), American Hospital Association (AHA), and The Joint Commission: Practice recommendation on strategies to prevent catheter-associated urinary tract infections in acute-care hospitals, 2022 update (published 2023)

●American College of Radiology (ACR): ACR Appropriateness Criteria on acute pyelonephritis (2022)

●American Urological Association (AUA)/Canadian Urological Association (CUA)/Society of Urodynamics, Female Pelvic Medicine, and Urogenital Reconstruction (SUFU): Guideline on recurrent uncomplicated urinary tract infections in women (2022)

●American College of Physicians (ACP): Best practice advice on appropriate use of short-course antibiotics in common infections (2021)

●ACR: ACR Appropriateness Criteria on recurrent lower urinary tract infections in females (2020)

●Healthcare Infection Control Practices Advisory Committee (HICPAC): Guideline for prevention of catheter-associated urinary tract infections (2009, updated 2019)

●IDSA and European Society for Microbiology and Infectious Diseases (ESCMID): International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women, 2010 update (ARCHIVED; published 2011)

●IDSA: International clinical practice guidelines for diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults, 2009 (ARCHIVED; published 2010)

Europe

●European Association of Urology (EAU): Guidelines on urological infections, update (2024)

●Infectious Diseases Society of America (IDSA) and European Society for Microbiology and Infectious Diseases (ESCMID): International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women, 2010 update (ARCHIVED; published 2011)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Guideline on urinary tract infection (recurrent) – Antimicrobial prescribing (2018, updated 2024)

●Public Health England (PHE): Guidance on urinary tract infections – Diagnostic tools for primary care (2007, updated 2024)

●NICE: Quality standard on urinary tract infections in adults (2015, updated 2023)

●Scottish Intercollegiate Guidelines Network (SIGN): A national clinical guideline for management of suspected bacterial lower urinary tract infection in adult women (2020)

●NICE: Guideline on pyelonephritis (acute) – Antimicrobial prescribing (2018)

●NICE: Guideline on urinary tract infection (catheter-associated) – Antimicrobial prescribing (2018)

●NICE: Guideline on urinary tract infection (lower) – Antimicrobial prescribing (2018)

Australia–New Zealand

●Choosing Wisely Australia: Do not use antimicrobials to treat bacteriuria in older adults where specific urinary tract symptoms are not present (2016)

Japan

●[In Japanese] Japanese Society of Sarcopenia and Frailty (JSSF) and National Center for Geriatrics and Gerontology (NCGG): Guidelines for lower urinary tract dysfunction in elderly people with frailty and cognitive decline (2021)

●[In Japanese] Japanese Urological Association (JUA): Infection control guidelines in urology including urinary tract management, second revised edition (2021)

●[In English] Japanese Association for Infectious Diseases (JAID)/Japanese Society of Chemotherapy (JSC): Guidelines for clinical management of infectious disease − Urinary tract infection/male genital infection, 2015 (published 2017)

●[In Japanese] JAID/JSC: Infectious diseases treatment guidelines – Urinary tract infections/male genital infections, 2015 (published 2016)

●[In Japanese] Japanese Society for Palliative Medicine (JSPM): Clinical guidelines for urological symptoms in cancer patients (2016)

●[In English] JSC: Japanese guideline for clinical research of antimicrobial agents on urogenital infections, second edition (2016)

●[In Japanese] Choosing Wisely Japan: Testing and treating urinary tract infections in the elderly – When to use them and when not (2015)