Sexual Health

Best Antibiotics for Upper Tract and Lower Tract UTIs

Dvora Kluwgant, MD
Dvora Kluwgant, MD22 Apr 2024
What Are Treatments for UTI?
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Effective Antibiotics for UTIs
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Antibiotics to Treat a UTI for Women 
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Antibiotics to Treat a UTI for Men
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Antibiotics to Treat a UTI for Children
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Discussing Treatment for UTIs
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UTI Frequently Asked Questions (FAQs)
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Bottom Line
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A urinary tract infection (UTI) is an infection of the urinary system. It is often associated with painful symptoms, which are typically treated with antibiotics. The best antibiotics for treating a UTI depend on the type of UTI and the severity of the symptoms. Nitrofurantoin, trimethoprim, and cephalexin are common antibiotics prescribed to treat UTIs. 

What Are Treatments for UTI?

A UTI is a common infection of the urinary tract that can affect the kidneys, urethra, bladder, or ureters. They are often caused by bacteria entering the urinary tract, which then multiplies in the bladder. In addition, UTIs can also be caused by viral infections. Your doctor may request special testing if they believe you have a viral UTI, as they are treated with antivirals, not antibiotics. If you have a bacterial UTI, the best course of treatment would be antibiotics

Dr. David Beatty, a general practitioner for over 30 years, provided insight for this article. Dr. Beatty noted that in an ideal situation, a urine culture is performed to see the specific bacteria causing an infection. A physician can then determine the perfect antibiotic for killing the bacteria. In cases without urine cultures, which happens most often, the following is taken into consideration:

  • Severity of illness
  • Possibility of pregnancy
  • Male or female
  • If kidneys have been affected
  • Previous antibiotic use

Effective Antibiotics for UTIs

 

Women

Pregnant Women

Men

Children

Upper Tract UTI

cephalexin, ciprofloxacin

cephalexin

IV antibiotic

cephalexin

Lower Tract UTI

nitrofurantoin, trimethoprim

nitrofurantoin, cephalexin or amoxicillin at end of pregnancy

nitrofurantoin, trimethoprim

nitrofurantoin, trimethoprim

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Dvora Kluwgant, MD

Dvora is a recent medical graduate and current MPH student who is passionate about women’s health and health equity. She hopes to specialize in Obstetrics and Gynecology and is excited to join the Mira team in empowering people through healthcare. In her spare time she enjoys exercise, reading and spending time with her family and her dog, Dash.

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