cystitis

• related: Urology

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