O23.1
DESCRIPTION
This condition usually presents with lower abdominal pain, frequency of micturition, and/or dysuria. There are no features of sepsis, e.g. fever. Urine dipstick testing usually shows nitrites, with/without leukocytes; and/or blood.
GENERAL MEASURES
Encourage oral fluid intake.
Midstream urine for microscopy, culture and sensitivity.
MEDICINE TREATMENT
Empiric treatment ( symptoms present with nitrites positive AND leukocytes positive on dipstick):
LoEIII [41]
- Fosfomycin, oral, 3 g, as a single dose.
OR
- Nitrofurantoin, oral, 100 mg, 6 hourly for 5 days.
REFERRAL/CONSULTATION
No response to treatment, or resistant organism on culture.