Skip to main content
. 2023 Dec 20;17:126–137. doi: 10.33393/dti.2023.2660

TABLE II -.

Suggested regimens for antimicrobial therapy in uncomplicated cystitis. Recommendations of the European Association of Urology (EAU) (8)

Antimicrobial Daily dose Duration of therapy Comments
b.i.d. = twice daily; SD = single dose; t.i.d. = three times daily.
Reproduced from Bonkat G, Bartoletti R, Bruyere F, et al. EAU Guidelines on Urological Infections. Edn. presented at the EAU Annual Congress, Milan, Italy, 2023. ISBN 978-94-92671-19-6 and published by uroweb.org as an Open Access article under the CC BY 4.0 license.
First-line women
 Fosfomycin trometamol 3 g SD 1 day Recommended only in women with uncomplicated cystitis.
 Nitrofurantoin macrocrystal 50-100 mg four times a day 5 days
 Nitrofurantoin monohydrate/macrocrystals 100 mg b.i.d. 5 days
 Nitrofurantoin macrocrystal prolonged release 100 mg b.i.d. 5 days
 Pivmecillinam 400 mg t.i.d. 3-5 days
Alternatives
 Cephalosporins (e.g., cefadroxil) 500 mg b.i.d. 3 days Or comparable
If the local resistance pattern for Escherichia coli is <20%
 Trimethoprim 200 mg b.i.d. 5 days Not in the first trimester of pregnancy
 Trimethoprim-sulfamethoxazole 160/800 mg b.i.d. 3 days Not in the last trimester of pregnancy
Treatment in men
 Trimethoprim-sulfamethoxazole 160/800 mg b.i.d. 7 days Restricted to men. Fluoroquinolones can also be prescribed in accordance with local susceptibility testing.