Urinary tract infections

Urinary tract infections
Clinical condition Common pathogens Empirical antimicrobial agents Alternative antimicrobial agents Comments
Cystitis Enterobacteriaceae Nitrofurantoin Co-trimoxazole
or
ciprofloxacin
Collect urine for culture before antibiotics
Acute pyelonephritis Enterobacteriaceae Piperacillin-tazobactam
or Cefoperazone- sulbactam
or ertapenem
Imipenem-cilastatin
or
meropenem
Collect urine for culture before antibiotics.
Duration 10-14 days
Acute prostatitis Enterobacteriaceae Piperacillin-tazobactam
or
Cefoperazone-sulbactam
or
ertapenem
Co-trimoxazole Collect urine or preferably prostatic fluid for culture before antibiotics.
Duration 3-4 weeks
Chronic prostatitis Enterobacteriaceae Ciprofloxacin Co-trimoxazole Collect urine or preferably prostatic fluid for culture before antibiotics