Uncomplicated UTI in adult men (no fever or flank pain)
Antimicrobial prescribing: NHS Grampian, Orkney & Shetland
Warning
What's new / Latest updates
Notes section updated to include advice on hydration and not to treat asymptomatic bacteriuria.
Second line choice changed from nitrofurantoin to cefalexin.
Increasing incidence of multi-resistant E coli with extended-spectrum beta-lactamase (ESBL) enzymes, so perform culture in all treatment failures.
Maintain adequate hydration – aim to drink 1.5L of water a day if no contraindications.
Do not treat asymptomatic bacteriuria (unless urological surgery).
Advise paracetamol or ibuprofen for pain
Drug details
First Line
Trimethoprim 200mg twice daily for 7 days
Second Line
Cefalexin 500mg twice daily for 7 days