Template:Acute cystitis antibiotics

Revisión del 03:20 19 jun 2014 de Ostermayer (discusión | contribs.) (Created page with "====Women, uncomplicated cystitis==== *Nonpregnant, few prior UTI episodes, symptoms <7d, no flank pain or fever #Nitrofurantoin ER 100mg BID x 5d OR #TMP-SMX DS (160/800mg) 1...")
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Women, uncomplicated cystitis

  • Nonpregnant, few prior UTI episodes, symptoms <7d, no flank pain or fever
  1. Nitrofurantoin ER 100mg BID x 5d OR
  2. TMP-SMX DS (160/800mg) 1 tab BID x 3d OR
  3. Cephalexin 250mg QID x 5d OR
  4. Ciprofloxacin 250mg BID x3d

Women, complicated cystitis/pyelo

  • Risks for complicated UTI or symptoms of pyelo
  1. Ciprofloxacin 500mg BID x10-14d OR
  2. Cefpodoxime 200 mg BID x10-14d


Women, uncomplicated cystitis AND urethritis

  1. Ceftriaxone 250mg IM x1 AND azithromycin 1gm PO x1 AND nitrofurantoin ER 100mg BID x5d OR
  2. Levofloxacin 500mg QD x 14d (covers UTI pathogens, GC, and chlam)
    1. GC resistance to fluoroquinolones is increasing

Men, cystitis/pyelo

  1. Ciprofloxacin 500mg BID x10-14d OR
  2. Cefpodoxime 200 mg BID x10-14d

Inpatient Options

  • Ciprofloxacin 400mg IV q12hr OR
  • Ceftriaxone 1gm IV QD OR
  • Cefotaxime 1-2gm IV q8hr OR
  • Gentamicin 3mg/kg/day divided q8hr +/- ampicillin 1–2 gm q4hr OR
  • Piperacillin-tazobactam 3.375 gm IV q6hr OR
  • Cefepime 2gm IV q8hr OR
  • Imipenem 500mg IV q8hr
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