Template:Acute cystitis antibiotics
Revision as of 15:00, 22 February 2015 by Rossdonaldson1 (talk | contribs) (→Women, uncomplicated cystitis)
Women, uncomplicated
- 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