Diagnosis and management of uncomplicated urinary tract infections

Am Fam Physician. 2005 Aug 1;72(3):451-6.

Abstract

Most uncomplicated urinary tract infections occur in women who are sexually active, with far fewer cases occurring in older women, those who are pregnant, and in men. Although the incidence of urinary tract infection has not changed substantially over the last 10 years, the diagnostic criteria, bacterial resistance patterns, and recommended treatment have changed. Escherichia coli is the leading cause of urinary tract infections, followed by Staphylococcus saprophyticus. Trimethoprim-sulfamethoxazole has been the standard therapy for urinary tract infection; however, E. coli is becoming increasingly resistant to medications. Many experts support using ciprofloxacin as an alternative and, in some cases, as the preferred first-line agent. However, others caution that widespread use of ciprofloxacin will promote increased resistance.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Anti-Infective Agents / therapeutic use
  • Fluid Therapy
  • Humans
  • Urinalysis
  • Urinary Tract Infections / diagnosis*
  • Urinary Tract Infections / epidemiology
  • Urinary Tract Infections / therapy*

Substances

  • Anti-Infective Agents