L38 UTIs and Prostatitis

what is an uncomplicated UTI

female premenopausal child-bearing age with no significant past medical history

what are the most common bug for UTI

E. coli

what is the treatment for acute cystitis

Short course therapy: 3 to 5 days

Nitrofurantoin 100 mg po q 12 hrs (5 days) (1st choice)

Trimethoprim/sulfa(Bactrim®)1 DS tablet PO q 12 hrs (3 days)

what is the treatment for symptomatic abacteriuria

Short course therapy: 3 to 5 days

Nitrofurantoin 100 mg po q 12 hrs (5 days) (1st choice)

Trimethoprim/sulfa(Bactrim®)1 DS tablet PO q 12 hrs (3 days)

what is the treatment for complicated UTI like acute pyelonephritis caused by E coli

oral therapy for 2 weeks

*bactrim

*fluroquinolone

what is the treatment for complicated UTI like acute pyelonephritis for seriously ill patients

hospitalize and start IV antibiotics

*aminoglycoside

*quinolone +/- bactrim

for UTI in males what is duration of therapy of prostatitis

4-6 week duration

in pregnancy population what antibiotics must be avoided

tetracyclines, sulfonamides, and fluoroquinolones

what is the abx treatment for males with acute bacterial prostatitis

aminoglycoside + beta lactam

for the treatment of chronic bacterial prostatitis what are the abx options and are required for at least 6 wks

cipro

levo

bactrim