Useful documents

Urine culture

Actions in case of critical results

Pre requirements

Antibiotic treatment modalities and duration depend on the infected site and the patient’s condition.

Don’t forget to perform urine culture before starting any antibiotic treatment

Guidelines for women

Mild – moderate cases

  • Ciprofloxacin (PO) 500mg/12h OR Ceftriaxone (IV) 1g/day

Don’t forget to adjust to urine culture results

Severe cases WITHOUT septic shock

If no known ESBL colonization and no risk factor for ESBL

View ESBL risk factors

  • Ceftriaxone (IV) 1g daily OR Cefotaxime (IV) 1g 8 hourly
AND
  • Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily (if amikacin not available)
  • Aminoglycosides for 48h until urine culture results
  • With PO relay on clinical improvement, depending on urine culture results
  • Total antibiotic duration (IV + PO) at least 7 days, maximum 10 days
  • Piperacillin-Tazobactam 12g/d in 3 doses to 16g/d in 4 doses 
AND
  • Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily (if Amikacin is not available)
IF NOT AVAILABLE
  • Imipenem from 500mg/6h until 1g/8h OR Meropenem 1-2g/8h
AND
  • Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily (if Amikacin is not available)
  • Aminoglycosides for 48h, until urine culture results
  • With PO relay on clinical improvement, depending on urine culture results
  • Total antibiotic duration (IV + PO) at least 7 days, maximum 10 days

Severe cases WITH septic shock

If no known ESBL colonization and no risk factor for ESBL

View ESBL risk factors

Ceftriaxone (IV) 1g daily OR Cefotaxime (IV) 1 g 8 hourly

AND

Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily (if Amikacin is not available)

  • Aminoglycosides for 48h, until urine culture results
  • With PO relay on clinical improvement, depending on urine culture results
  • Total antibiotic duration (IV + PO) at least 7 days, maximum 10 days
  • Imipenem from 500mg/6h until 1g/8h OR Meropenem 1-2g/8h
AND
  • Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily (if Amikacin is not available)
  • Aminoglycosides for 48h, until urine culture results
  • With PO relay on clinical improvement, depending on urine culture results
  • Total antibiotic duration (IV + PO) at least 7 days, maximum 10 days

Non ESBL-secreting Enterobacteriaceae

  • Amoxicillin 1g/8h po 
  • Amoxicillin clavulanic acid 1g/8h po 
  • Cefixime 200mg/12h po (pregnant and children)
  • Ciprofloxacin 500mg/12h po 
  • Trimethoprim-sulfamethoxazole 800mg-160mg/12h po 

ESBL-secreting Enterobacteriaceae

  • Ciprofloxacin 500mg/12h po
  • Trimethoprim-sulfamethoxazole 800mg-160mg/12h po
  • Piperacillin-tazobactam ≤80kg: 4g/8h IV >80kg: 4g/6h
  • Cefoxitin 2g/8h IV (only for Escherichia coli)
  • Temocillin 2g/8h IV
  • Meropenem 2g/8h IV OR Ertapenem ≤80kg: 1g/j IV >80kg: 1g/12h IV in the absence of any other alternative

Pseudomonas aeruginosa

  • Ciprofloxacin 500mg/12h po
  • Ceftazidime 2g/8h IV
  • Cefepime 2g/8h IV
  • Piperacillin-tazobactam ≤80kg: 4g/8h IV >80kg: 4g/6h
  • Meropenem 2g/8h IV in the absence of any other alternative

Enterococcus spp

  • Amoxicillin 2g/8h po
  • Linezolide 600mg/12h po
  • Vancomycin: loading dose 30 mg/kg in one hour then 30 mg/kg/24h in continuous infusion

Guidelines for men

Poorly symptomatic (without fever)

Delayed treatment then secondary treatment adapted to urine culture results

Mild to Moderate Acute Uncomplicated Prostatitis

  • Ceftriaxone (IV) 2g/day OR Ciprofloxacin (PO) 500mg/12h OR Trimethoprim-sulfamethoxazole (PO) 800mg-160mg/12h

Don’t forget to adjust to urine culture results

Severe cases WITHOUT septic shock

If no known ESBL colonization and no risk factor for ESBL

View ESBL risk factors

  • Ceftriaxone (IV) 2 g daily OR Cefotaxime (IV) 2 g 8 hourly
AND
  • Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily (if Amikacin is not available)

Aminoglycosides for 48h, until urine culture results

With PO relay on clinical improvement, depending on urine culture results

Total antibiotic duration (IV + PO) 14 days

If no known ESBL colonization and no risk factor for ESBL

View ESBL risk factors

  • Piperacillin-Tazobactam 12g/d in 3 doses to 16g/d in 4 doses 
AND
  • Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily (if Amikacin is not available)
IF NOT AVAILABLE
  • Imipenem from 500mg/6h until 1g/8h OR Meropenem 1-2g/8h
AND
  • Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily 

Aminoglycosides for 48h, until urine culture results

With PO relay on clinical improvement, depending on urine culture results

Total antibiotic duration (IV + PO) 14 days

Severe cases WITH septic shock

If no known ESBL colonization and no risk factor for ESBL

View ESBL risk factors

  • Ceftriaxone (IV) 2 g daily OR Cefotaxime (IV) 2 g 8 hourly
AND
  • Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily (if Amikacin is not available)

Aminoglycosides for 48h, until urine culture results

With PO relay on clinical improvement, depending on urine culture results

Total antibiotic duration (IV + PO) 14 days

    If no known ESBL colonization and no risk factor for ESBL

    View ESBL risk factors

    • Imipenem from 500mg/6h until  1g/8h OR Meropenem 1-2g/8h
    AND
    • Amikacin (IV) 30 mg/kg daily OR Gentamicin (IV) 5 mg/kg daily (if Amikacin is not available)

    Aminoglycosides for 48h, until urine culture results

    With PO relay on clinical improvement, depending on urine culture results

    Total antibiotic duration (IV + PO) 14 days

    Non ESBL-secreting Enterobacteriaceae

    • Trimethoprim-sulfamethoxazole 800mg-160mg/12h po 
    • Ciprofloxacin 500mg/12h po
    • Ceftriaxone (IV) 2g daily

    ESBL-secreting Enterobacteriaceae

    • Ciprofloxacin 500mg/12h po
    • Trimethoprim-sulfamethoxazole 800mg-160mg/12h po
    • Piperacillin-tazobactam ≤80kg: 4g/8h IV >80kg: 4g/6h
    • Cefoxitin 2g/8h IV (only for Escherichia coli)
    • Temocillin 2g/8h IV
    • Meropenem (2g/8h IV) OR Ertapenem ≤80kg: 1g/j IV >80kg: 1g/12h IV in the absence of any other alternative

    Pseudomonas aeruginosa

    • Ciprofloxacin 500mg/12h po
    • Ceftazidime 2g/8h IV
    • Cefepime 2g/8h IV
    • Piperacillin-tazobactam ≤80kg: 4g/8h IV >80kg: 4g/6h
    • Meropenem 2g/8h IV in the absence of any other alternative

    Enterococcus spp

    • Amoxicillin 2g/8h po
    • Linezolide 600mg/12h po
    • Vancomycin: loading dose 30 mg/kg in one hour then 30 mg/kg/24h in continuous infusion

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