Urine pH and Urinary Tract Infection
Urine pH and Urinary Tract Infection
Urinary tract infections (UTI) affect the urine pH and may lead to salt precipitation such as
 struvite. Bacteria with urease activity are known to alkalinise urine, but not much is known
 on how pH is changing over time during UTI.

 This study aims at following urine pH progression at the time of diagnosis of UTI and during
 the treatment phase.

 Description of the change in urine pH over time will help understanding the risk of struvite
 formation and potential timing of intervention.
Adults presenting with UTI symptoms will be screened for infection and instructed to monitor
 urine pH during the course of treatment and 1 week after. Urine pH will be measured by the
 patients using calibrated pH-stix. Type of bacteria, antibiotics, and the type of diet will
 be monitored during the study.
Group 1. Cystitis

 Inclusion Criteria:

 -  Symptoms of dysuria, pollakiuria, no fever AND

 -  urine-stix positive for leucocytes OR positive culture (>10E5 cfu/ml)

 Group 2. Pyelonephritis

 Inclusion Criteria:

 -  Unilateral flank pain, pollakiuria, dysuria, fever (>38.5°C) AND

 -  urine-stix positive for leucocytes OR positive culture (>10E5 cfu/ml)

 Exclusion Criteria (both groups):

 -  known urinary tract anatomic abnormalities

 -  Presence of a urine catheter

 -  Sepsis - septic shock

 -  Patient taking drug interfering with urine pH (diuretics, citrate, acetazolamide,
 topiramate,...)

 -  Patients with UTI diagnosed in the preceding month

 -  Patients having received antibiotics during the preceding month

 -  Male patient with a diagnosis of prostatitis

 -  Presence of infected kidney cyst

 -  Patient with diabetes

 -  Pregnant female

 -  Patient with obstructive pyelonephritis