Med/Psych Update

Prescribing for urinary tract infection: Avoid fluoroquinolones?

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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.

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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.

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