Comparing Standard-of-Care Antibiotics for Uncomplicated UTIs
ByRyan Haumschild, PharmD, MS, MBA,Thomas M. Hooton, MD,Wendy Cheng, PhD, MPH ,Debra Fromer, MD ,Katie S. Murray, DO Panelists discuss how standard-of-care antibiotics for uncomplicated urinary tract infections (UTIs) show varying efficacy, with nitrofurantoin and fosfomycin demonstrating superior response rates (85%-95%) compared with trimethoprim/sulfamethoxazole (70%-80% due to increasing resistance) and first-generation cephalosporins (80%-90%), and how cost-effectiveness depends on local resistance patterns, patient adherence to dosing schedules, medication costs and insurance coverage, treatment duration, recurrence rates, comorbidities, and potential adverse effects requiring additional interventions.