Complicated Urinary Tract Infection (ie abnormality of renal tract)

Duration

7 – 14 days

Notes

Important: Therapy

  • Samples should be taken prior to starting treatment.
  • Send blood for culture if pyrexial.
  • If fever or loin pain, or both, treat as for pyelonephritis.

Complicated UTI - first line

Important: Therapy

 Co-trimoxazole oral 960mg 12 hourly

Complicated UTI - Second line

Important: Therapy

Ciprofloxacin oral 500mg 12 hourly

Notes:

Avoid ciprofloxacin in frail elderly patients where possible due to CDI risk. Check important safety information in BNF & give MHRA patient information leaflet to patient