Cystitis

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Usually presents with dysuria, urinary urgency and frequency, and suprapubic pain, but note that in men dysuria more commonly indicates a sexually transmitted infection (STI). Always exclude an STI. With UTI, urine is often cloudy and smelly. Where possible diagnosis, should be made with leucocyte dipstick, microscopy or culture.

Treat with:

  Medicines  Adult Dose  Frequency Duration
  nitrofurantoin po  100mg  2 times a day  3 days

or

amoxicillin po

 500mg  3 times a day  3 days

If still symptomatic after 3 days, refer.

Avoid the nephrotoxic medicines gentamicin and nitrofurantoin in renal dysfunction.