Antimicrobial therapy of urinary tract infections in primary care

Abstract

Urinary tract infections (UTI) are the second most frequent indication for antimicrobial therapy in primary care. Increasing bacterial resistance represents a serious epidemiological and therapeutical problem therefore rational approach to antimicrobial therapy is of great importance.

For empirical management of community-acquired cystitis, the most frequent form of UTI, antimicrobials with low risk of resistance development are preferred with nitrofurantoin considered as the first drug of choice. This article summarizes current options for treatment of community-acquired UTI.

Keywords

• urinary tract infections
• antimicrobial therapy
• community-acquired lower urinary tract infections
• asymptomaticbacteriuria