Genitourinary infection

Treatment

1. Post-menopausal --> 7 dy course (Cipro or Nitro)
2. Pregnant --> 7dy course (Nitro or Keflex)
3. Male --> 10dy course (R/O prostatitis, urethritis)
4. Complicated (risk for subclinical pyelonephritis ~25%)
   1. Structureal urologic abnlty
   2. Neurologic dysfx (elderly)
   3. Hx of UCI relapse
   4. Prior hx of pyelo
   5. Frequent UTIs
   6. Sx >7dys
   7. DM or other immunosuppresed
   8. --> increased course vs. admit

Repeat

>3 UTIs/yr = R/O structural abnlty

1. Cipro 250mg BID
2. Bactrim DS BID
3. Nitrofurantoin 100mg BID
4. Keflex 250mg QID

See Also

Peds: UTI

Source

10/07 DONALDSON (adapted from Tintinalli)