Nitrofurantoin Nitrofurantoin is available in two formulations, the macrocrystalline formulation Macrodantin and the monohydrate-macrocrystal form Macrobid. Tailor therapy once urine cultures are available. Antimicrobial agents Trimethoprim-sulfamethoxazole Trimethoprim-sulfamethoxazole has long been considered the standard of therapy for acute and recurrent urinary tract infections because of its activity against the most common uropathogens and its low cost and tolerability. Am Fam Physician ; 59 : , What are antibiotics used to treat?
Uncomplicated urinary tract infections are among the most frequently occurring infections in the United States, resulting in an estimated 8 million office visits and 1 million hospital admissions each year. Urinary tract infections can be classified by anatomic site of involvement into lower and upper urinary tract infections. Infections of the lower urinary tract include cystitis, urethritis, prostatitis, and epididymitis, and those of the upper urinary tract include pyelonephritis. Urinary tract infections may be further classified as complicated or uncomplicated. In women with a structurally and functionally normal urinary tract, cystitis and pyelonephritis are considered uncomplicated urinary tract infections. Urinary tract infections in men, elderly people, pregnant women, or patients who have an indwelling catheter or an anatomic or functional abnormality are considered complicated urinary tract infections. In this article, we outline the pharmacologic approach to the prevention and treatment of uncomplicated cystitis. Risk factors for urinary tract infections in women include frequent sexual intercourse, lack of urination after intercourse, use of a diaphragm, use of a spermicide, and a history of recurrent urinary tract infections. Enterococci, Klebsiella species and Proteus mirabilis account for a small percentage of overall infections.
If you enjoy drinking cranberry juice and feel it helps you prevent UTIs, there’s little harm in it. This will become more common as antibiotic resistance increases. Neu HC. Urinary tract infections can be painful, but you can take steps to ease your discomfort until antibiotics treat the infection. This can do more harm than good. Some people are at higher risk of getting a UTI. Hooton TM, et al. Thanks to antibiotics, previously fatal infections are curable. Philadelphia, Pa.