Important: Therapy
- Send MSSU or catheter urine sample.
- Send blood for culture if pyrexial.
- If STD is suspected patients should be referred to Sexual Health Service (0345 337 9900) for partner notification and advice if required.
test announcement
Chronic: Escherichia coli ,Enterococcus spp. , Staphylococcus aureus
Acute: Escherichia coli, Proteus, Klebsiella, Pseudomonas, Enterococci, Staphylococcus
28 days
Oral Ciprofloxacin 500mg 12 hourly
Avoid ciprofloxacin in frail elderly patients where possible due to CDI risk. Check important safety information in BNF & give MHRA patient information leaflet to patient
Trimethoprim 200mg oral 12 hourly
OR
Doxycycline 100mg oral 12 hourly
If IV required due to sepsis on presentation:
Ciprofloxacin 400mg IV 12 hourly
then switch to:
oral Ciprofloxacin 500mg 12 hourly
Oral switch should be guided by sensitivity results.
Avoid ciprofloxacin in frail elderly patients where possible due to CDI risk. Check important safety information in BNF & give MHRA patient information leaflet to patient