The educational session (CME)
pyuria, vaginitis/cervicitis, dysuria, undifferentiated abdominal pain, tenderness
ACUTE PYELONEPHRITIS, ACUTE CYSTITIS, APPENDIX, UTI
A one-hour educational session was delivered to all physicians upon enrollment into the study, either in person or by zoom.All enrolled doctors received the AKUH newly adopted UTI treatment guidelines as an attachment on email (Appendix The working definition of acute UTI for the medical officers included signs and symptoms consistent with the absence of evidence of alternative diagnoses such as undifferentiated abdominal pain or vaginitis/cervicitis. The clinical diagnosis could be supported by pyuria or growth of a potential pathogen.Key messages highlighted in the CME were:The 1Patients suspected of STI and presenting with dysuria should undergo STI testing.Checking for costovertebral angle (CVA) tenderness in patients suspected with acute pyelonephritis is necessary.Documentation of the components of history and physical examination that contribute to a proper UTI diagnosis.Either urinalysis/urine dipstick or urine culture can be performed in acute cystitis, although empirical treatment can be given if the symptoms point to UTI as the likely diagnosis.Patients who fit the criteria for acute pyelonephritis should be admitted.