What would be the first choice of drug for first episode for UTI (uncomplicated) in adults, Nitrofurontion or Trimethoprim given empirically?

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Helmi Sulaiman

It depends on your community antibiogram... theres no right and wrong answer in this

Vladimirs Strazdins

Indeed, the choice as as described by Helmi. Nitrofurantoins as a first choice are perfect in Eastern Europe, and the sensitivity remains stable for more than 2 decades there. You've to check your urine cultures and sensitivity/resistance patterns in the last few years to make the proper choice.

Venkata RM Kusuma

It depends upon culture results, I wouldnt start him on either antibiotic empirically.If it is a female patient with uncomplicated cystitis I would start with Trimethoprim.