O23.1
DESCRIPTION
This condition usually presents with lower abdominal pain, frequency of micturition and/or dysuria. There are no features of sepsis, e.g. fever.
Urine dipstick testing usually shows nitrites and/or leukocytes; protein and/or blood may also be detected.
GENERAL MEASURES
- Encourage oral fluid intake
- Midstream urine for microscopy, culture and sensitivity
MEDICINE TREATMENT
Empiric treatment (nitrites positive OR leukocytes positive on dipstick):
- Nitrofurantoin, oral, 100 mg 6 hourly for 7 days.
REFERRAL
- No response to treatment, or resistant organism on culture.
- Features of pyelonephritis (See Pyelonephritis, acute, in pregnancy ).