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Required Investigations

  • Urine culture
  • Blood culture if febrile or being admitted

Antimicrobial Recommendation

Recommended total duration: 28 days

Ciprofloxacin 500mg every 12 hours orally

Avoid fluoroquinolones if taking steroids and the elderly. Review MHRA Quinolone Warning before prescribing.

Alternative for patients 65 years or over or patients with C. diff infection risk.

Trimethoprim  200mg every 12 hours orally


Refer to urology.

Consider Antimicrobial Use in Frail Elderly Patients

Likely organisms: Coliforms (E.coli and other Enterobacteriacae)