Complicated Urinary Tract Infection (ie abnormality of renal tract)
7 – 14 days
- 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
Co-trimoxazole oral 960mg 12 hourly
Complicated UTI - Second line
Ciprofloxacin oral 500mg 12 hourly
Avoid ciprofloxacin in frail elderly patients where possible due to CDI risk.