ما هو علاج الخط الأول لالتهاب المسالك البولية السفلية؟

References

• One of the main first-line agents for the treatment of acute uncomplicated cystitis is oral nitrofurantoin for 5 days.
• Fosfomycin is an acceptable alternative if nitrofurantoin cannot be used.
• Trimethoprim-sulfamethoxazole can also be used empirically as a first-line agent except in cases where local resistance rates to Enterobacteriales (like E coli) exceed 20% or in patients who have used trimethoprim-sulfamethoxazole for an infection in the past 3 months.
• Lack of improvement or progression of symptoms after about 48–72 hours of initial empiric antibiotics.

DOI: 10.1053/j.ajkd.2023.08.009