Uncomplicated UTI
Infection Uncomplicated UTI Brief outline/clinical setting Community acquired organisms are becoming increasingly resistant and where possible a culture should be performed prior to therapy. Cultures should be performed always: Where symptoms persist When antibiotics have been administered in the last 3 months Symptoms with negative dipstix for nitrites or leucocyte esterase Aetiologies/organisms
| Infection | Uncomplicated UTI |
|---|---|
| Brief outline/clinical setting |
Community acquired organisms are becoming increasingly resistant and where possible a culture should be performed prior to therapy. Cultures should be performed always:
Symptoms with negative dipstix for nitrites or leucocyte esterase |
| Aetiologies/organisms |
Enterobacterales: E. coli, K. pneumoniae, Enterobacter spp, Proteus spp S. saprophyticus, Group B streptococcus, Enterococcus spp. |
| Optimal antimicrobial selection |
Cefuroxime: 1.0 gram BD x 3-5 days; (level of evidence 3; recommendation grade: strong) |
| Duration | Dependent on agent used (see above) |
| Alternative if allergic/not available | Fosfomycin: 3 grams stat and 3 grams on the third day (Level of evidence 2; recommendation grade: strong) Amoxicillin/clavulanate 1 gram BD: (level of evidence 3; recommendation grade: strong) |
| Rationale | |
| Level of evidence | See above |