Module 9 Part 2 Acute Urinary Tract Infection – Female Uncomplicated

Question 1

What are the first-line antibiotics for acute uncomplicated cystitis in females?

Answer 1

TMP/SMX, Trimethoprim, Nitrofurantoin (or Macrobid), and Fosfomycin.

Question 2

When is a urine culture generally recommended in cases of acute cystitis?

Answer 2

Urine culture is not generally recommended unless there is no response to empiric therapy or early (< 1 month) recurrence.

Question 3

What are the second-line antibiotics for acute uncomplicated cystitis in females?

Answer 3

Amoxicillin, Norfloxacin, and Ciprofloxacin.

Question 4

What is the recommended duration of therapy for nitrofurantoin in acute cystitis?

Answer 4

Nitrofurantoin should be used for a 5-day course.

Question 5

Why are fluoroquinolones reserved for acute cystitis in females?

Answer 5

Fluoroquinolones are reserved due to their importance for other medical conditions, and they should be used cautiously.