Uncomplicated UTI in non-pregnant women (no fever or flank pain)
Either back-up prescription (if no improvement in 48 hours or symptoms worsen at any time)
or immediate prescription
Advise paracetamol or ibuprofen for pain.
Increasing incidence of multi-resistant E coli with extended-spectrum beta-lactamase (ESBL) enzymes, so perform culture in all treatment failures.
Drug details
Trimethoprim
200mg 2 x daily
3 days (women)
Nitrofurantoin
100mg m/r 2 x daily
or
50mg 4 x daily
3 days (women)