Lisa Dumkow, PharmD, BCIDP, FIDP
@lisaidpharmd.bsky.social
Infectious diseases pharmacist, passionate stewie teacher/RPD, and antimicrobial geek. Foodie, runner, dog and video game lover. SIDP President-elect. Views are my own.
Nitrofurantoin is still first-line for uUTI (definitely lots of love for NTF! Although we recommend 5 days - would love to see 3d outcomes published!); the US guidelines are just starting to explore cephalosporins (previously alt agents) - now working to get data out on which ones to use vs. avoid!
October 24, 2025 at 10:28 AM
Nitrofurantoin is still first-line for uUTI (definitely lots of love for NTF! Although we recommend 5 days - would love to see 3d outcomes published!); the US guidelines are just starting to explore cephalosporins (previously alt agents) - now working to get data out on which ones to use vs. avoid!
We use cephalexin 500 BID for uUTI and 1,000 mg BID for cUTI (unless bacteremic, or obese ➡️ then 1,000 mg TID-QID depending on BMI); academic.oup.com/ofid/article...
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October 24, 2025 at 2:27 AM
We use cephalexin 500 BID for uUTI and 1,000 mg BID for cUTI (unless bacteremic, or obese ➡️ then 1,000 mg TID-QID depending on BMI); academic.oup.com/ofid/article...