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Urinary tract infections (UTI)
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Management of asymptomatic bacteriuria (ASB)
Management of catheter-associated urinary tract infection (CA-UTI)
Management of chronic pelvic pain syndrome (CPPS)
Management of community multidrug-resistant (MDR) urinary tract infection (UTI)
Management of lower urinary tract infections (UTI)
Management of prostatitis, acute
Management of pyelonephritis, acute
Management of recurrent urinary tract infection (rUTI)
Resources for urinary tract infections (UTI)
Chapter 5: Infections
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Principles of antibacterial treatment
Coronavirus disease (COVID-19)
Eye infections
Gastro-intestinal tract infections
Genital tract infections
Meningitis
Oral and dental infections
Respiratory tract infections (RTI)
Skin and soft tissue infections
Urinary tract infections (UTI)
5.1 Antibacterial drugs
5.2 Antifungal drugs
5.3 Antiviral drugs
5.4 Antiprotozoal drugs
5.5 Anthelmintics
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Management of community multidrug-resistant (MDR) urinary tract infection (UTI)
First Line
Second Line
Specialist
Hospital Only
If GFR <45mL/min
Pivmecillinam
- Consider pivmecillinam if eGFR less than 45mL/min
- 400mg single dose on day one then 200mg every 8 hours for 3 days in women, 7 days in men
- This is an extended-spectrum penicillin antibiotic
If high risk of resistance
Fosfomycin
- Consider fosfomycin if high risk of resistance to first line options
- Female: 3g sachet as a single dose
- Male: 3g sachet initial dose and repeat after 3 days; unlicensed but in line with PHE guidance
- Doses should be taken preferably before bedtime and after emptying the bladder
