Urinary tract infection (UTI)
- Treat symptoms + urine context, not culture alone
- Uncomplicated cystitis: short oral regimen
- nitrofurantoin/TMP-SMX/fosfomycin common
- Avoid fluoroquinolone when safer options work
- Pyelonephritis needs tissue-active antibiotic
- Culture recurrent/complicated disease
- Do not treat asymptomatic bacteriuria routinely
Use at a glance
- Treat symptoms + urine context, not culture alone
Practical pearls
- Uncomplicated cystitis: short oral regimen
- nitrofurantoin/TMP-SMX/fosfomycin common
Treatment options
- Pyelonephritis needs tissue-active antibiotic
- Culture recurrent/complicated disease
Safety / pitfalls
- Avoid fluoroquinolone when safer options work
- Do not treat asymptomatic bacteriuria routinely
Self-check
- Should asymptomatic bacteriuria routinely be treated?
No. - Which UTI drug class is avoided when safer options work?
Fluoroquinolones.
Drugs used for this (17)
All clinical uses · Open Urinary tract infection (UTI) in the interactive console ↗