Case scenario

Cassie, a 24-year-old non-pregnant woman, presents to your pharmacy with a prescription for trimethoprim 300 mg, one tablet daily for 7 days. She has not experienced a UTI before.

You invite Cassie into the pharmacy’s private counselling room. You explain that trimethoprim is a common antibiotic used to treat UTIs, but with her permission you would like to discuss with her doctor the treatment duration to ensure it is effective and appropriate. Cassie is very happy for you to call her doctor. You confirm that Cassie is not taking any other medicines, has no other medical conditions, and has no allergies.

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Describe the symptoms of and management options for urinary tract infections
  • Discuss the treatment complications of and preventive measures for urinary tract infections
  • Explain how pharmacists can translate knowledge into practice when managing patients with urinary tract infections.

Competency standards (2016) addressed: 1.1, 1.4, 1.5, 2.2, 3.1, 3.5

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Introduction

Urinary tract infections (UTIs) are common and seen both in hospitals and the community, particularly in women.1,2 Most have a bacterial cause and affect the bladder (cystitis), but the infection may also affect the kidney(s) (pyelonephritis).1 

Diagnosis involves taking a patient history, physical examination, microscopy, culture testing and susceptibility testing. Antibiotic treatment is guided

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