Urinary Tract Infection - Uncomplicated Initial Assessment

Last updated: 27 April 2026
Reviewed by

Clinical Presentation

Urinary Tract Infection - Uncomplicated_Initial AssesmentUrinary Tract Infection - Uncomplicated_Initial Assesment




Clinical features of acute uncomplicated cystitis include dysuria, urgency, frequency, suprapubic pain, and absence of urinary symptoms in the past 4 weeks. The presence of urinary irritative symptoms and the absence of vaginal discharge or irritation and risk factors for complicated or systemic UTI increase the probability of acute uncomplicated cystitis in premenopausal, nonpregnant women.

Acute uncomplicated pyelonephritis is characterized by fever (>38áµ’C), chills, flank pain, costovertebral angle tenderness, nausea, and vomiting with or without symptoms of cystitis in non-pregnant, premenopausal women with no history or clinical evidence of urological abnormalities or comorbidities.

History

Note for any presence of lower urinary tract symptoms (eg dysuria, frequency, urgency) and absence of vaginal discharge.

Physical Examination

The examination is often unremarkable in women with urinary tract infections but may be useful in ruling out more serious illnesses (eg pelvic inflammatory disease [PID] and nephrolithiasis).