Genitourinary infection

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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%)

    i. Structureal urologic abnlty
    ii. Neurologic dysfx (elderly)
    iii. Hx of UCI relapse
    iv. Prior hx of pyelo
    v. Frequent UTIs
    vi. Sx >7dys
    vii. DM or other immunosuppresed

--> increased course vs. admit


  • >3 UTIs/yr = R/O structural abnlty


Cipro 250mg BID

Bactrim DS BID

Nitrofurantoin 100mg BID

Keflex 250mg QID


See Also

Peds: UTI


Source

10/07 DONALDSON (adapted from Tintinalli)