Prescribing for urinary tract infection: Avoid fluoroquinolones?
Current Psychiatry. 2009 July;08(07):49-56
July 1, 2009|Current Psychiatry
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In areas without widespread bacterial resistance to TMP/SMZ, a 3-day course of TMP/SMZ could be considered first-line treatment for uncomplicated UTI in patients without allergies or contraindications. However, in areas where resistance to TMP/SMZ is high, a 7-day course of nitrofurantoin is recommended for uncomplicated cystitis. Resistance patterns can vary from hospital to hospital and even among units in the same hospital;14 therefore, refer to local microbiology labs for “antibiograms” or information regarding resistance patterns.
Related resource
- National Guideline Clearinghouse. Urinary tract infection. www.guidelines.gov/summary/summary.aspx?doc_id=7407.
Drug brand names
- Ampicillin • Principen
- Cefazolin • Ancef
- Ceftriaxone • Rocephin
- Ciprofloxacin • Ciloxan, Cipro, Cipro XR, ProQuin XR
- Gentamicin • Garamycin
- Levofloxacin • Levaquin
- Nitrofurantoin • Furadantin, Macrodantin, Macrobid, Urotoin
- Trimethoprim/Sulfamethoxazole • Bacter-Aid DS, Bactrim, Septra, Sulfatrim, Sultrex
- Tobramycin • Nebcin
Disclosure
Dr. Gagliardi reports no financial relationship with any company whose products are mentioned in this article or with manufacturers of competing products.
