Page 282 - ATP-P 11th Ed

URINARY TRACT INFECTION PROTOCOL

SPECIAL CONSIDERATIONS
1. More common after instrumentation, in females, or in tactical settings with de-
hydration and/or kidney stones.
2. Symptoms may be confused with a sexually transmitted disease (STD).

SECTION 2 Signs and Symptoms
1. Dysuria
2. Urinary urgency and frequency
3. Cloudy, malodorous, or dark urine may be present
4. Suprapubic discomfort
Management
1. Ceftriaxone (Rocephin ) 1g IV/IM OR trimethoprim-sulfamethoxazole (Septra )
®
®
1 PO bid for 3 days
®
2. AND azithromycin (Zithromax ) 1g PO once
3. Treat per Pain Management Protocol, excluding narcotics.
4. If fever, back pain, flank pain, and/or costovertebral angle tenderness develop, suspect
kidney infection and treat per Flank Pain Protocol.
5. Encourage PO hydration.

Disposition
1. Usually responds to therapy and evacuation not required if it does.
2. Priority evacuation for pyelonephritis. See Flank Pain Protocol.
3. Routine evacuation for worsening signs and symptoms
4. Upon return to base, all males should be evaluated for UTI, even if asymptomatic.

272 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 273