UMEM Educational Pearls

Category: Pharmacology & Therapeutics

Title: Drugs for UTIs

Keywords: Uti,bactrim,smx/tmp,ciprofloxacin,levofloxacin (PubMed Search)

Posted: 8/2/2012 by Ellen Lemkin, MD, PharmD
Click here to contact Ellen Lemkin, MD, PharmD

Acute, uncomplicated cystitis (in the non-pregnant female):

·      The drug of choice is SMX/TMP (provided the resistance rate is <20%) X 3 days.

·      An alternative is nitrofurantoin X 5 days.


Acute, uncomplicated pyleonephritis (in the non-pregnanct female) may be treated with:

·      Levofloxacin X 5 days, or ciprofloxacin X 7 days (provided resistance rate is <10%).

·      Alternatively, SMX/TMP may be used X 14 days.


The Medical Letter. July 23, 2012. Vol 54(1395):57-60.