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. 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. Uncomplicated urinary tract infections (UTIs) are one of the most common diagnoses in the United States. In 1997, an estimated 8.3 million physician office visits were attributed to acute cystitis.1 A U. and Canadian study showed that approximately one half of all women will have a UTI in their lifetimes, and one fourth will have recurrent infections.2 The health care costs associated with UTIs exceed 1 billion dollars34; therefore, any advance in the diagnosis and treatment of this entity could have a major economic impact. Streamlining the diagnostic process could also decrease morbidity and improve patient outcomes and satisfaction. A three-day course of trimethoprim-sulfamethoxazole (TMP/SMX; Bactrim, Septra) is recommended as empiric therapy of uncomplicated urinary tract infections (UTIs) in women, in areas where the rate of resistance 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. Also, it is best to take the doses at evenly spaced times, day and night. To help keep the amount constant, do not miss any doses. This medicine works best when there is a constant amount in the blood or urine. For example, if you are to take one dose a day, try to take it at the same time each day. Shake the oral liquid for at least 15 seconds just before each use. If you need to take this medicine for anthrax infection, your doctor will want you to begin using it as soon as possible after you are exposed to anthrax. The oral liquid has small microcapsules floating in it. These microcapsules may look like bubbles or small beads. Do not chew the microcapsules when you take the oral liquid.
What is a UTI | Which antibiotic to use | Common side effects | Antibiotic resistance | New antibiotics | OTC antibiotics | Recurring UTIs | Treatment without antibiotics | Cranberry juice | More resources If you have ever experienced the frequent urge to go the bathroom with painful burning urination, you have probably experienced a urinary tract infection (UTI). You may be surprised to know that UTIs are the second most common type of infection in the body, accounting for over 8 million visits to health care providers each year. Sometimes a UTI can be self-limiting, meaning that your body can fight the infection without antibiotics; however, most uncomplicated UTI cases can be treated quickly with a short course of oral UTI antibiotics. A UTI infection can happen anywhere along your urinary tract, which includes the kidneys (the organ that filters the blood to make urine), the ureters (the tubes that take urine from each kidney to the bladder), the bladder (stores urine), or the urethra (the tube that empties urine from the bladder to the outside). A lower urinary tract infection occurs when bacteria gets into the urethra and is deposited up into the bladder -- this is called cystitis. Infections that get past the bladder and up into the kidneys are called pyelonephritis . An infection of the tube that empties urine from the bladder to the outside is called urethritis. Urinary tract infection symptoms may include: Upper UTIs which include the kidney may also have symptoms of fever, back pain, and nausea or vomiting. This content has not been reviewed within the past year and may not represent Web MD's most up-to-date information. To find the most current information, please enter your topic of interest into our search box. " April 29, 2015 -- If you’ve ever had one (or a dozen) urinary tract infections, you might not be surprised to learn that they’re the most common bacterial infections in the United States. What you might not know is that doctors are running out of oral antibiotics to treat such infections, which account for nearly 10 million annual visits to doctors’ offices or hospital emergency departments. That’s happening as the bacteria causing them become more resistant to the medicines used to treat them. Antibiotic resistance in general is on the rise worldwide, but one especially troubling example is the rise in resistant strains of E coli, the bacteria that cause more than 80% of UTIs. In some cases, doctors have had to resort to older, less-effective antibiotics.
Until fairly recently, ciprofloxacin was the go-to medication for the treatment of a run-of-the-mill UTI. But that has changed. Cipro is no longer. HealthDay News -- When it comes to antibiotic treatment of simple urinary tract infections, Cipro beats another commonly used.