Title: Diagnosis and Management of Uncomplicated Urinary Tract Infections - American Family Physician
Headings: Diagnosis and Management of Uncomplicated Urinary Tract Infections
Diagnosis and Management of Uncomplicated Urinary Tract Infections
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SORT: KEY RECOMMENDATIONS FOR PRACTICE
Epidemiology
Diagnosis
Treatment
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Antimicrobial Agents for the Management of Uncomplicated UTIs
NONPHARMACOLOGIC THERAPIES
OLDER WOMEN
MEN
Recommendations
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Management of Uncomplicated Urinary Tract Infections
The Author
REFERENCES
Continue reading from August 1, 2005

Content: C
24
Fluoroquinolones are not recommended as first-line treatment of uncomplicated UTIs in order to preserve their effectiveness for complicated UTIs. C
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Use of betalactam antibiotics is not recommended for the routine treatment of uncomplicated UTIs because of limited effectiveness. C
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For treatment of uncomplicated urinary tract infections in older women, consider short or longer (three to 10 days) courses of antibiotics. B
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A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. For information about the SORT evidence rating system, see page 363 or https://www.aafp.org/afpsort.xml. Epidemiology
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Abstract
Epidemiology
Diagnosis
Treatment
Recommendations
References
Escherichia coli is the most common cause of uncomplicated UTI and accounts for approximately 75 to 95 percent of all infections. 2 - 5 A longitudinal study 6 of 235 women with 1,018 UTIs found that E. coli was the only causative agent in 69.3 percent of cases and was a contributing agent in an additional 2.4 percent of cases. Staphylococcus saprophyticus is a distant second, accounting for only 5 to 20 percent of infections.