UTIs are the most common bacterial infection.  The elderly are particularly susceptible with direct consequences including urosepsis.  The conventional urine culture suffers from suboptimal sensitivity and lengthy test time (3-5 days). In contrast, the nucleic acid amplification-based assay (quantitative PCR), offers urinary tract pathogen identification and antibiotic resistance gene detection with a sensitivity that is estimated three times higher than the bacterial culture. The timely provision of enhanced microbial detection and concomitant antibiotic sensitivity results help improve antimicrobial stewardship and clinical outcome.