Antibiotic treatment of uncomplicated urinary tract infection in premenopausal women

Int J Antimicrob Agents. 2011 Dec;38 Suppl:21-35. doi: 10.1016/j.ijantimicag.2011.09.003. Epub 2011 Oct 14.


Uncomplicated urinary tract infections (UTIs) in otherwise healthy premenopausal women are one of the most frequent infections in the community. Therefore any improvement in management will have a high impact not only on the quality of life of the individual patient but also on the health system. In placebo-controlled studies antimicrobial treatment was significantly more effective than placebo, but on the other hand showed more adverse events. The choice of antibiotic depends on the spectrum and susceptibility patterns of the uropathogens, its effectiveness for this indication, its tolerability, its collateral effects and cost. After a systematic literature search, recommendations for empiric treatment of acute uncomplicated cystitis and acute uncomplicated pyelonephritis and for follow-up strategies were developed.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Bacterial Infections / drug therapy*
  • Female
  • Humans
  • Premenopause*
  • Urinary Tract Infections / drug therapy*


  • Anti-Bacterial Agents