Investigating for Urinary Tract Infection in Patients Undergoing Hip and Knee Replacement Surgery. CA5169 v1.1
A guideline for identification of patients with symptomatic urinary tract infection should occur at pre-assessment clinic by the use of screening questions. Infection should be treated prior to elective orthopaedic hip and knee replacement surgery. Urinary tests in asymptomatic patients are no longer recommended. Urinalysis by dipstick tests or microscopy is used for those with symptoms as an aid to further management.
Clinical GuidelinesThis guideline has been approved by the Trust's Clinical Guidelines Assessment Panel as an aid to the diagnosis and management of relevant patients and clinical circumstances. Not every patient or situation fits neatly into a standard guideline scenario and the guideline must be interpreted and applied in practice in the light of prevailing clinical circumstances, the diagnostic and treatment options available and the professional judgement, knowledge and expertise of relevant clinicians. It is advised that the rationale for any departure from relevant guidance should be documented in the patient's case notes.
The Trust's guidelines are made publicly available as part of the collective endeavour to continuously improve the quality of healthcare through sharing medical experience and knowledge. The Trust accepts no responsibility for any misunderstanding or misapplication of this document.