Template:Acute cystitis antibiotics: Difference between revisions
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===Women, uncomplicated cystitis=== | |||
*Nonpregnant, few prior UTI episodes, symptoms <7d, no flank pain or fever | *Nonpregnant, few prior UTI episodes, symptoms <7d, no flank pain or fever | ||
#[[Nitrofurantoin]] ER 100mg BID x 5d OR | #[[Nitrofurantoin]] ER 100mg BID x 5d OR | ||
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#[[Ciprofloxacin]] 250mg BID x3d | #[[Ciprofloxacin]] 250mg BID x3d | ||
===Women, complicated cystitis/pyelo=== | |||
*Risks for complicated UTI or symptoms of pyelo | *Risks for complicated UTI or symptoms of pyelo | ||
#[[Ciprofloxacin]] 500mg BID x10-14d OR | #[[Ciprofloxacin]] 500mg BID x10-14d OR | ||
#[[Cefpodoxime]] 200 mg BID x10-14d | #[[Cefpodoxime]] 200 mg BID x10-14d | ||
===Women, uncomplicated cystitis AND urethritis=== | |||
#[[Ceftriaxone]] 250mg IM x1 AND azithromycin 1gm PO x1 AND nitrofurantoin ER 100mg BID x5d OR | #[[Ceftriaxone]] 250mg IM x1 AND azithromycin 1gm PO x1 AND nitrofurantoin ER 100mg BID x5d OR | ||
#[[Levofloxacin]] 500mg QD x 14d (covers UTI pathogens, GC, and chlam) | #[[Levofloxacin]] 500mg QD x 14d (covers UTI pathogens, GC, and chlam) | ||
##GC resistance to fluoroquinolones is increasing | ##GC resistance to fluoroquinolones is increasing | ||
===Men, cystitis/pyelo=== | |||
*Consider urethritis and [[prostatitis]] | *Consider urethritis and [[prostatitis]] | ||
#[[Ciprofloxacin]] 500mg BID x10-14d OR | #[[Ciprofloxacin]] 500mg BID x10-14d OR | ||
#[[Cefpodoxime]] 200 mg BID x10-14d | #[[Cefpodoxime]] 200 mg BID x10-14d | ||
===Inpatient Options=== | |||
*[[Ciprofloxacin]] 400mg IV q12hr OR | *[[Ciprofloxacin]] 400mg IV q12hr OR | ||
*[[Ceftriaxone]] 1gm IV QD OR | *[[Ceftriaxone]] 1gm IV QD OR | ||
Revision as of 13:17, 22 February 2015
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 tab BID x 3d OR
- Cephalexin 250mg QID x 5d OR
- Ciprofloxacin 250mg BID x3d
Women, complicated cystitis/pyelo
- Risks for complicated UTI or symptoms of pyelo
- Ciprofloxacin 500mg BID x10-14d OR
- Cefpodoxime 200 mg BID x10-14d
Women, uncomplicated cystitis AND urethritis
- Ceftriaxone 250mg IM x1 AND azithromycin 1gm PO x1 AND nitrofurantoin ER 100mg BID x5d OR
- Levofloxacin 500mg QD x 14d (covers UTI pathogens, GC, and chlam)
- GC resistance to fluoroquinolones is increasing
Men, cystitis/pyelo
- Consider urethritis and prostatitis
- Ciprofloxacin 500mg BID x10-14d OR
- 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