cystitis
Uncomplicated UTI
- etiology: E. coli, Klebsiella, staph sapro
- enterococci and strep agalactiae (group B strep) often cause false positive result
- empiric treatment: bactrim 3 days or macrobid 5 days
- alternative:
- augmentin 5-7 days
- fosfomycin 3 gm 1 dose
- cipro 3 days
- cefdinir 3-7 days
- ESBL e coli often susceptible to fosfomycin or ertapenem
Complicated UTI
- pts: obstruction, reflux, azotemia, transplant, foley cather associated
- etiology: enterobacter, pseudomonas, enterococcus, staph aureus (rare)
- empiric therapy: ciprofloxacin or levofloxacin
- high risk for MDR: zosyn, cefepime, ertapenem
- duration of therapy: 7-14 days
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