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If you have any of the following symptoms below, you may be eligible for antibiotics:
- Discomfort or burning on passing urine
- New waking up at night because you have to urinate
- Cloudy urine
- Urinary urgency
- Urinary frequency
- Visible blood in urine
- Tenderness above your pubic area
It is a good idea to bring your urine sample along, so we can do a dipstick test to confirm any diagnosis, otherwise we may ask you to provide a urine specimen when at the pharmacy.
Please note if you have any of the symptoms or you are in a list of excluded patients below we request that you contact your GP for advice:
Exclusion Criteria:
- Children aged 15 years and under
- Adults aged 65 years and over
- Pregnant females
- Breastfeeding mothers
- Vaginal itch/discharge/abnormal vaginal bleeding
- Frank haematuria
- Symptoms suggestive of upper urinary tract infection (rapid onset, fever, rigors, nausea, vomiting, diarrhoea, loin pain/tenderness, systemically unwell)
- Symptoms present for more than 7 days
- A prior episode of UTI in the last 28 days which was treated by an antibiotic
- Already being treated for this current episode under the community pharmacy UTI service
- 2 or more episodes in the last 6 months or 3 or more episodes in the last 12 months
- Taking prophylactic antibiotics for recurrent urinary tract infection
- Patients assigned male at birth
- Care home residents
- There is a catheter in situ
- Known renal impairment
- Sensitivity to any components of the medication
- Diabetes
- Immunosuppression
- Known abnormality of, or stent in, the urinary tract
- History of renal stones / colic
- Severe hepatic impairment
- Confusion
- Unresolving symptoms
- Previous resistant UTI
- Recent travel to areas of high antimicrobial resistance (areas outside of northern Europe & Australasia)
- History of renal stones / renal colic
- Urethritis – inflammation post sexual intercourse, irritants
- Genitourinary syndrome of menopause (vulvovaginal atrophy)
- Symptoms suggestive of sexually transmitted infection (STI) with sexual history suggestive that STI possible
- Recent hospitalisation for more than 7 days in the last 6 months
Symptoms suggestive of sepsis:
- Temperature >37.8°C or <36°C
- Nausea and/or vomiting
- Diarrhoea
- New onset behavioural changes e.g. confusion, irritability, slurred speech, loss of consciousness, sudden change in ability to function.
- Rapid heart rate, palpitations
- Low blood pressure, dizziness, fainting
- Limb/joint/muscle/abdominal pain anywhere in the body
- Cold hands and/or feet
- Rigors
- Ashen/mottled skin
- Cyanosis of the skin/lips/tongue
- Breathlessness, rapid breathing
- Low/no urine output
- Non-blanching rash anywhere on the body
In addition, where the patient has recently given birth, terminated a pregnancy or suffered a miscarriage in the last 6 weeks and:
- Have, or have been in close contact with, someone with group A streptococcal infection
- Have continued vaginal bleeding or an offensive vaginal discharge.