Treatments for UTI

Question 1

what are 4 cases that you would treat asymptomatic bacteriuria

Answer 1

Pregnancy
Endo-urologic procedures
Prostatic surgeries
prior to renal transplant

Question 2

what are the 3 recommended treatments for uncomplicated cystitis

Answer 2

1. nitrofurantoin 100mg BID for 5 days
2. Fosfomycin 3 grams as one time dose
3. Bactrim DS 800/160 BID for 3 days

Question 3

What 2 drugs used to treat UTIs would you specifically avoid if pyelonephritis was present

Answer 3

Nitrofurantoin
Fosfomycin

Question 4

Alternative Drug classes used to treat uncomplicated cystitis

Answer 4

Fluoroquinolones
B-lactams

Question 5

What are the 3 recommended treatments for uncomplicated pyelonephritis

Answer 5

1. Bactrim DS 800/160 for 14 days if pathogen is known to be susceptible
2. Ciprofloxacin 500 mg BID for 7 days +/- one time IV 400 mg dose
3. Levofloxacin 750 mg for 5 days

Question 6

Alternative treatment for uncomplicated pyelonephritis

Answer 6

Oral B-lactams (should be given 1 time IV dose of ceftriaxone or aminoglycosides) for 10-14 days