Uncomplicated UTI in non-pregnant women (no fever or flank pain)

Either back-up prescription (if no improvement in 48 hours or symptoms worsen at any time) 

or immediate prescription 

Advise paracetamol or ibuprofen for pain.

Increasing incidence of multi-resistant E coli with extended-spectrum beta-lactamase (ESBL) enzymes, so perform culture in all treatment failures.

Trimethoprim

200mg 2 x daily

3 days (women) 

Nitrofurantoin

100mg m/r 2 x daily

or

50mg 4 x daily

3 days (women)