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. |