👩 Female patients 18–65 only
🏥 Patient must be physically present
📋 Patient consent required
1
Patient eligibility — preliminary checks
Sex
Age
Consent & presence
2
Pyelonephritis — immediate ED flags
Tick any that apply. Any tick = immediate ED referral.
3
Acute cystitis symptoms
Tick all present. Needs ≥2 for probable acute cystitis (>90% probability if no vaginal discharge).
0 of 4 symptoms selected
Alternative cause?
4
Immediate GP referral criteria
Tick any that apply. Any tick = refer to GP (pharmacist may still supply conservative care).
5
High-risk history — refer to GP with / after treatment
These warrant conservative management + GP referral. Antibiotic treatment may still be considered concurrently if appropriate and no contraindications exist.
6
STI risk factors & other considerations
If any STI risk factor applies, treat provisionally and refer for STI testing. Antibiotic treatment may still proceed concurrently if clinically appropriate.
⬅️ Complete the checklist
Work through Steps 1–6 on the left to generate a management recommendation.
📝 Documentation checklist (mandatory)
Patient identifiers · Date & time · Pharmacist name & HPI-I · Consent (program, costs, GP comms, My Health Record) · Allergies/ADRs · Clinical opinion · Actions & medicines supplied · Advice given · Share with patient & usual GP · Record in approved IT system.
Patient identifiers · Date & time · Pharmacist name & HPI-I · Consent (program, costs, GP comms, My Health Record) · Allergies/ADRs · Clinical opinion · Actions & medicines supplied · Advice given · Share with patient & usual GP · Record in approved IT system.