Table 1.

Summary of the Dutch guideline on uncomplicated UTI 2005 (second revision)

- History taking is paramount for diagnosis of UTI. If history is typical, urinalysis is not necessary in non pregnant, otherwise healthy women.

- Urinalysis consists of a nitrite dipstick test, followed by a urine dipslide test in case of a negative nitrite test.

- A UTI is defined as a positive nitrite test or a dipslide with at least 104 colony-forming units per ml urine.

- If a woman has complaints similar to an earlier uncomplicated UTI, empirical treatment can be considered without urinalysis.

- In uncomplicated urinary tract infections, i.e. cystitis in non-pregnant, otherwise healthy women, nitrofurantoin (5 days) is the drug of first choice. In case of hypersensitivity, trimethoprim (3 days) is recommended.

- Fluorochinolonen should only be prescribed based on the specific results of a urine culture including antibiotic resistance pattern.