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Urinary Tract Infections
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==== Management ==== * '''<span style="color:#ff0000">Antibiotic regimen''' **'''<span style="color:#ff0000">Preferred (3)''' **# '''<span style="color:#ff0000">Fosfomycin 3 gram PO x single dose''' **# '''<span style="color:#ff0000">Nitrofurantoin 100 mg PO BID x 5 days''' **# '''<span style="color:#ff0000">Trimethoprim-sulfamethoxazole DS 1 pill PO BID x 3 days''' **'''<span style="color:#ff0000">Alternative when bacteria are resistant to the preferred antibiotics: ciprofloxacin, 250 mg BID x 3 days''' ***'''<span style="color:#ff0000">Fluoroquinolone antibiotics should not be the first line treatment of uncomplicated cystitis.''' *'''β90% of women are asymptomatic within 72 hours after initiating antibiotics''' * '''A follow-up visit or culture is not required in young women who are asymptomatic after therapy.''' ** A follow-up visit, urinalysis, and urine culture are recommended in older women or those with potential risk factors and in men. ** '''Urologic evaluation is unnecessary in women and is usually unnecessary in young men who respond to therapy.Β However, UTIs in most men should be considered complicated until proven otherwise.''' * '''If a patient does not respond to therapy, appropriate microbiologic and urologic evaluations should be undertaken for the causes of unresolved and complicated UTIs.'''
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