FLORIDA'S ONLY JOINT COMMISSION-ACCREDITED URGENT CARE
FLORIDA'S ONLY JOINT COMMISSION-ACCREDITED URGENT CARE · ONE OF JUST 8 NATIONWIDE
FLORIDA'S ONLY JOINT COMMISSION-ACCREDITED URGENT CARE
FLORIDA'S ONLY JOINT COMMISSION-ACCREDITED URGENT CARE · ONE OF JUST 8 NATIONWIDE
Same-visit in-house urinalysis, culture when indicated, and evidence-based antibiotics prescribed on-site. Walk in any day.
Joint Commission accredited. Physician on shift every day. Most insurance accepted.
TrufaMED treats urinary tract infections with same-visit urinalysis, urine culture when indicated, and first-dose antibiotics, seven days a week. No appointment needed. A typical uncomplicated UTI visit — physician evaluation, clean-catch urine sample, dipstick plus microscopy, and prescription to your pharmacy — takes about 30 minutes.
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When burning, frequency, urgency, or pelvic pressure begin, same-day diagnosis matters — untreated UTI can ascend to the kidneys within 48 to 72 hours. At TrufaMED a board-certified physician evaluates you, runs urinalysis in-house, collects culture when the presentation warrants it, and selects a guideline-based antibiotic. Most uncomplicated cystitis cases are treated and released in under an hour.
Accurate diagnosis starts with a clean-catch urine sample, bedside dipstick, and microscopy. Culture with antibiotic sensitivities is sent out when the case is complicated, recurrent, or a first-line antibiotic has already failed. Our on-site lab returns key results in minutes so antibiotics can be tailored before you leave.
Dipstick findings that support UTI include positive leukocyte esterase (white cells), positive nitrites (gram-negative bacteria), and microscopic pyuria (greater than 10 white cells per high-power field). A negative dipstick in a patient with classic symptoms does not rule out infection — we culture and treat empirically when the story is convincing. A positive dipstick in an asymptomatic patient does not necessarily warrant antibiotics; asymptomatic bacteriuria is only treated in pregnancy and before certain urologic procedures.
We send urine culture when the patient is pregnant, male, pediatric, post-menopausal, recently hospitalized, diabetic, immunocompromised, symptomatic for more than 7 days, has recurrent infections, or is not improving on empiric therapy. Culture plus antibiotic sensitivities take 24 to 72 hours; we follow up with you by phone or portal with any adjustments.
Our physicians prescribe by evidence-based protocols (IDSA guidelines), tailored to local resistance patterns, your allergy history, pregnancy status, and renal function. Fluoroquinolones are reserved for complicated cases because of tendon, neurologic, and cardiac side-effect profiles.
| Antibiotic | Typical Course | Best For |
|---|---|---|
| Nitrofurantoin (Macrobid) | 100 mg twice daily for 5 days | Uncomplicated cystitis in non-pregnant women; avoid if suspected pyelonephritis or creatinine clearance under 60 |
| TMP-SMX (Bactrim) | One DS tablet twice daily for 3 days | Uncomplicated cystitis where local E. coli resistance is under 20%; avoid in sulfa allergy or later pregnancy |
| Fosfomycin (Monurol) | 3 g single oral dose | One-and-done convenience; effective against many multidrug-resistant organisms; not for pyelonephritis |
| Cephalexin (Keflex) | 500 mg every 6 hours for 5 to 7 days | Safe in pregnancy, reasonable in penicillin tolerance; also used in pediatrics |
| Ciprofloxacin / Levofloxacin | 5 to 7 days, weight-based dosing | Pyelonephritis, complicated UTI, or culture-guided resistant organisms; reserved per FDA safety labeling |
Alongside antibiotics we often prescribe a short course of phenazopyridine (Pyridium or AZO) 200 mg three times daily for two days to relieve burning while the antibiotic starts to work. Phenazopyridine is a bladder analgesic — it numbs urinary tract discomfort but does not treat the infection, so it is never used without an antibiotic. Patients should know their urine will turn orange-red on this medication and should avoid contact lenses during the course.
Hydration helps. We recommend drinking a full glass of water every hour while awake for the first 48 hours of treatment to flush the bladder and dilute irritated tissue. If oral intake is failing from nausea, same-visit IV fluids and anti-emetics are available through our urgent care service.
A simple bladder infection (cystitis) becomes a kidney infection (pyelonephritis) when bacteria ascend the ureters. Pyelonephritis is a different clinical problem — longer course, parenteral antibiotics in many cases, and hospitalization when oral therapy is not safe.
Four findings move the diagnosis from cystitis toward pyelonephritis: fever 101°F or higher, flank pain (costovertebral angle tenderness on exam), nausea or vomiting, and rigors (shaking chills). Any two of those in a patient with urinary symptoms deserves same-day physician evaluation, labs, and often imaging.
Uncomplicated pyelonephritis in an otherwise healthy adult who is eating and drinking can be managed as an outpatient with oral fluoroquinolone for 5 to 7 days, or another guideline-based agent based on culture. We often give the first dose as IV antibiotics in our clinic (ceftriaxone 1 g IV is the common workhorse) to achieve rapid therapeutic levels before handing the patient to oral therapy for the remainder of the course.
We refer to the emergency department or hospital directly when the patient cannot tolerate oral intake, is pregnant with pyelonephritis, is septic or heading that way (altered mental status, hypotension, lactate elevation), is immunocompromised, has suspected obstruction (kidney stone blocking an infected ureter is a urologic emergency), or has failed adequate outpatient therapy. Pregnant women with pyelonephritis are admitted as the default standard of care because of preterm labor risk.
Most uncomplicated UTI does not require imaging. We consider CT or ultrasound when there is significant flank pain out of proportion to infection (possible obstructing stone), a palpable flank mass (possible abscess), failure to improve on 48 to 72 hours of appropriate antibiotics, or a known anatomic anomaly. Our imaging capabilities cover the bedside workup; complex imaging is coordinated same day.
Cystitis vs Pyelonephritis
What Arrives In-Visit
Because male urethral anatomy is long, UTI in men is uncommon and, when present, treated as a complicated infection by default. Prostatitis frequently overlaps the picture, changing antibiotic selection and course length.
Urine culture is standard, not optional. A prostate exam and post-void residual assessment are part of the visit. First-time UTI in a male warrants a urology referral to look for obstruction, stones, or prostatic enlargement.
When perineal pain, painful ejaculation, or fever accompanies urinary symptoms, acute bacterial prostatitis is the working diagnosis. Antibiotics that penetrate the prostate (fluoroquinolones, TMP-SMX) for 4 to 6 weeks are standard.
Even uncomplicated male cystitis typically gets 7 days of antibiotic, not the 3-to-5-day courses used in women. Short courses in men have high relapse rates.
TMP-SMX, ciprofloxacin, or levofloxacin for 7 to 14 days depending on whether prostate involvement is suspected. Nitrofurantoin is generally avoided in men because it does not penetrate prostatic tissue.
We coordinate a urology referral for any male with a first UTI, recurrent UTI, or suspected prostatitis. Post-infection workup typically includes PSA, renal ultrasound, and sometimes cystoscopy.
In sexually active men under 35, urethritis from gonorrhea or chlamydia can mimic UTI. Our physicians consider both diagnoses, test appropriately, and treat empirically when the exam and history warrant it.
Recurrent UTI is defined as three or more culture-confirmed infections in 12 months, or two in 6 months. The pattern warrants a strategy change — repeat short courses without a plan lead to resistance without solving the underlying drivers.
Post-coital voiding (urinating within 30 minutes of intercourse), front-to-back wiping, avoiding spermicides and diaphragms when possible, and adequate daily hydration (goal 2 to 3 liters for most adults) reduce recurrence in many patients. Cranberry supplements have modest evidence and are reasonable. D-mannose has supportive small-study evidence and is well tolerated.
In post-menopausal women, atrophic urogenital tissue is a major recurrence driver. Topical vaginal estrogen (cream, tablet, or ring) restores tissue integrity and reduces UTI recurrence in this group by roughly half in randomized trials. It is a low-systemic-absorption therapy with a different risk profile than oral hormone therapy, and safe for most women including many with a breast cancer history after oncology discussion.
When behavioral changes and estrogen fail, options include continuous low-dose antibiotic prophylaxis (nightly or every other night for 6 months), post-coital single-dose prophylaxis when intercourse is the trigger, or patient-initiated self-start therapy (a prescription kept on hand to start at the first symptom, followed by culture). Each is individualized based on trigger pattern, organism, and patient preference.
Recurrent UTI in any patient with hematuria, persistent positive cultures despite treatment, suspected anatomic anomaly, or a single episode of pyelonephritis warrants a urology evaluation. Our team coordinates referral same visit. We also offer same-day referral for concerning imaging findings, pelvic floor physical therapy indications, and post-menopausal genitourinary concerns.
Recurrent UTI Workup
Pregnant patients and children with UTI are managed differently — different antibiotic safety profiles, different thresholds for imaging, and different follow-up cadence.
Asymptomatic bacteriuria is treated in pregnancy (unlike in non-pregnant adults) because untreated it progresses to pyelonephritis in 20 to 40 percent of cases, with significant preterm labor risk. Safe agents include cephalexin, amoxicillin-clavulanate, and fosfomycin. Nitrofurantoin is avoided in the last month of pregnancy (risk of neonatal hemolysis); TMP-SMX is avoided in the first trimester (folate antagonism) and last month. Pregnant women with pyelonephritis are admitted to the hospital as the default standard — we recognize that picture, initiate treatment, and facilitate admission.
UTI in children is workup-heavy. Accurate urine collection matters: for toilet-trained children, a clean-catch midstream sample; for infants and toddlers, a catheterized sample (bag urine samples are only useful to rule out infection, not to diagnose it). First febrile UTI in a child under 2 typically triggers a renal and bladder ultrasound to look for anatomic anomaly; voiding cystourethrogram is ordered when imaging is abnormal or when infections recur.
First-line pediatric antibiotics include cephalexin, cefdinir, or amoxicillin-clavulanate depending on age and culture. Treatment duration is typically 7 to 14 days; shorter courses have higher recurrence in children. Our physicians treat children daily — see the pediatric urgent care workflow below.
Confusion in an older adult, especially without fever, is frequently a UTI in disguise. Foley-catheter-associated UTIs are their own workup (remove the catheter if possible, culture-guided antibiotics). Patients with kidney stones can present with a stone-related UTI that will not clear until the obstruction is addressed — imaging matters.
Pregnancy UTI Quick Facts
Pediatric UTI Quick Facts
UTI is one of the most common walk-in visits in urgent care. What sets accurate, safe treatment apart is the diagnostic workup quality, guideline discipline, and willingness to escalate when the case is not simple.
01 · Accreditation
Florida’s Only JC-Accredited Urgent Care
Joint Commission accreditation — the same body that accredits hospitals — audits our sterile technique, medication safety, infection control, and clinical protocols every three years.
02 · Physicians
Every Visit Includes an MD
Every patient is evaluated by a board-certified physician. Led by Dr. Uri Gedalia (Chief Medical Officer) and Dr. Shane D. Naidoo (Medical Director, Emergency Medicine). Meet them on our staff page.
03 · On-Site Lab
Urinalysis in Minutes, Culture Same Day
In-house dipstick, microscopy, and culture collection through our on-site lab. Results shape the antibiotic choice before you leave the clinic.
04 · Same-Visit Escalation
IV Antibiotics and Hospital Coordination
When pyelonephritis requires a first IV dose, we deliver it in-clinic. When hospital admission is the right call, we arrange transfer without sending you to the ER cold.
05 · Insurance Covered
Covered by Most Major Plans
UTI evaluation and treatment is a standard urgent care visit: Aetna, Cigna, UHC, Humana, Oscar*, Medicare. Self-pay pricing quoted up front — no surprise billing.
06 · Open Seven Days
Walk In When the Symptoms Start
Weekends and evenings — when primary care offices are closed — are when UTI symptoms intensify. We are open Monday-Friday 9 AM-9 PM, Saturday 11 AM-11 PM, Sunday 12 PM-8 PM.
The overwhelming majority of UTI cases are urgent-care level. A small minority progress to urosepsis — a bloodstream infection of urinary origin that carries real mortality. The findings below move disposition to the emergency department.
Go to the ER or call 911 if:
If you are unsure whether your UTI symptoms are urgent-care or ER level, come in. We triage on arrival, move patients to the ER when findings warrant it, and treat the remainder on site. The cost of a same-day physician evaluation is worth it when the alternative is missing an obstructed, infected kidney.
The questions our physicians answer most often about urinary tract infection evaluation and treatment.
TrufaMED is at 9445 Harding Ave in Surfside — minutes from Bal Harbour, Bay Harbor Islands, Miami Beach, Sunny Isles, and Aventura. Walk in without an appointment seven days a week.
9445 Harding Ave, Surfside, FL 33154 · Contact our team · Walk-in only — no appointment needed.
Monday – Friday
9 AM – 9 PM
Saturday
11 AM – 11 PM
Sunday
12 PM – 8 PM
TrufaMED is Florida’s only Joint Commission-accredited urgent care. In addition to UTI treatment, we handle the full urgent care spectrum including strep throat, influenza, stomach flu, migraine, and sore throat. Most insurance accepted. Self-pay patients welcome.
UTI evaluation and treatment — physician exam, on-site urinalysis, antibiotics prescribed — is a standard urgent care visit covered by most major plans.
Same-visit urinalysis, culture when indicated, and guideline-based antibiotics in a single urgent care visit. No appointment needed. Most insurance accepted.
Medical Disclaimer: Content on this page is provided for general informational purposes only and does not constitute medical advice. Urinary tract infection severity varies by individual, and proper diagnosis and treatment require an in-person physician evaluation. If you are experiencing confusion, severe flank pain with high fever, signs of shock, or any other life-threatening symptom, call 911 or go to the nearest emergency department immediately. TrufaMED Urgent Care & Concierge Medicine — 9445 Harding Ave, Surfside, FL 33154. Joint Commission accredited.
Serving These Areas
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TrufaMED concierge members get 24/7 physician access, same-day appointments, and on-site diagnostics under one roof.
Learn About Concierge Medicine →TrufaMED Urgent Care is located at 9445 Harding Ave, Surfside, FL 33154, at the corner of Harding Avenue and 95th Street. We are just 2 minutes from Bal Harbour Shops, steps from the Surfside Community Center, and easily accessible via Collins Avenue from Miami Beach, Bal Harbour, and Sunny Isles Beach.
Guests at nearby hotels including the Four Seasons Surf Club, The St. Regis Bal Harbour Resort, and the Faena Hotel Miami Beach are just minutes away. We also serve patients from Aventura, Bay Harbor Islands, Indian Creek, and North Miami Beach.
Open 7 days a week • No appointment needed • Walk-ins welcome • (305) 614-2545
