Antimicrobial prescribing: NHS Grampian, Orkney & Shetland
Important: Therapy
Oral Trimethoprim
OR
Oral Cefalexin
Notes:
If trimethoprim/cefalexin has been taken in the last 3 months then select an alternative antibiotic based on previous microbiology sensitivities, if available.
Lower UTI/Cystitis
Micro Organisms
Escherichia coli, Enterobacteriaceae, Staphylococcus saprophyticus
Duration
3 days
Important: Notes
Urine sample should be taken prior to starting treatment. Send MSSU (carefully collected to avoid contamination).
Send blood for culture if pyrexial.
Consider specialist referral for recurrent infection.
If child is receiving prophylactic medication and develops an infection, treatment should be with a different antibiotic based on microbiology results if available.