UTI: B-QuiCK - bpacnz

B-QuiCK: UTI

0 comments

save

feedback

Choose another topic

B-QuiCK: UTI

The diagnosis and management of symptomatic lower UTIs in adults

Table 1. Empiric antibiotic regimens for uncomplicated UTI in adults.

N.B. Treat for seven days in pregnant females and in all males, regardless of antibiotic choice.

	Antibiotic	Dose
First-line	Nitrofurantoin^*†	Modified release (Macrobid): 100 mg, twice daily, for five days Immediate release (Nifuran): 50 mg, four times daily, for five days
Alternatives	Cefalexin	500 mg, twice daily, for three days
Trimethoprim^‡	300 mg, once daily, for three days

Antibiotic

Dose

First-line

Nitrofurantoin^*†

Modified release (Macrobid): 100 mg, twice daily, for five days

Immediate release (Nifuran): 50 mg, four times daily, for five days

Alternatives

Cefalexin

500 mg, twice daily, for three days

Trimethoprim^‡

300 mg, once daily, for three days

^* Contraindicated in patients with a creatine clearance < 60 mL/min due to the risk of peripheral neuropathy. Prescribe nitrofurantoin by brand name to reduce errors as there are two different formulations. Nitrofurantoin is not an appropriate first-line choice in patients with suspected pyelonephritis as it is associated with poor tissue penetration.

^† Avoid after 36 weeks gestation in pregnant females

^‡ Avoid in the first trimester of pregnancy

It is strongly recommended to review the original resource at your convenience for full details of recommendations and evidence.

See full article here: Urinary tract infections (UTIs) – an overview of lower UTI management in adults

New comment features

We have now added the ability to add replies to a comment. Simply click the "Reply to comment" button and complete the form. Your reply, once signed off, will appear below the comment to which you replied (if multiple replies to a comment, they will appear in order of submission)

You can still add a fresh comment by scrolling to the bottom of the discussion and clicking the "Add a comment" button.

If someone adds a reply to one of your comments (or replies) you will recieve an email notifying you of this. You can opt out of (or into if currently out) all comment notification emails by clicking the button below

There are currently no comments for this article.

Please login to make a comment.

CPD information

Prescribing Reports

Audits

CME Quizzes

Peer Group Discussions

My Bpac account

B-QuiCK: UTI

B-QuiCK: UTI

The diagnosis and management of symptomatic lower UTIs in adults

New comment features

Discussion

Partner links