Korean J Med.  2011 Dec;81(6):685-689.

Treatment of Community-Acquired Uncomplicated Urinary Tract Infection

• Pai H

Abstract

Acute uncomplicated urinary tract infections (UTI), episodes of cystitis or pyelonephritis that occur in healthy non-pregnant women with no functional or anatomic abnormalities of the urinary tract, are among the most commonly encountered bacterial infections. Unfortunately, there has been a recent trend of increasing resistance to antibiotics among uropathogens in many countries including Korea. The resistance rates of Escherichia coli from acute uncomplicated UTI during 2009 to ciprofloxacin (CIP), trimethoprim-sulfamethoxazole (SXT) and cefotaxime were 84.1%, 67.2% and 95.4%, respectively. Resistance both to SXT and CIP was detected in 10.6% of the E. coli isolates. Therefore, it is difficult to recommend the antibiotics which would not worsen the resistance problem and would be effective for community-acquired uncomplicated UTI as well. Considering the high resistance of uropathogens in Korea, several academic societies made the guideline for UTI, which will be briefly reviewed in this manuscript.

Keyword

Urinary tract infection; Treatment; Antibiotic resistance

MeSH Terms

Anti-Bacterial Agents
Bacterial Infections
Cefotaxime
Ciprofloxacin
Cystitis
Drug Resistance, Microbial
Escherichia coli
Female
Humans
Korea
Pyelonephritis
Trimethoprim, Sulfamethoxazole Drug Combination
Urinary Tract
Urinary Tract Infections
Anti-Bacterial Agents
Cefotaxime
Ciprofloxacin