>6 years old?
>11 years old?
Phenazopyridine (Azo, Pyridium) PO TID x 2 days
Note: If patient is a non-toilet trained child consider using Curbside pathway: 'Pediatric UTI (2 mo - 24 months)'.
Cephalosporin allergy?
Consider pediatric consult
Consider other source OR wait for culture with PMD in 24 hours
Pregnant?
Vaginal discharge or irritation?
Dysuria AND frequency present?
Well appearing?
>11 years old?
Pelvic exam if appropriate, consider empiric treatment for STI
Consider other source OR treat empirically for UTI
Presumed UTI on UA?
Meets discharge criteria?
Contraindications to probiotics?
Probiotics
Symptoms of pyelonephritis?
Cephalosporin allergy?
Discharge criteria
Give both antibiotics
Urine test Interpretation
Assess for risk factors:
Consider other source
Excluded from pathway
Any of the following present?
Complicating factors
Bactrim BID x10 days