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Best practice reminder: Avoid nitrofurantoin in the treatment of pyelonephritis

Inappropriate antibiotic use in suspected UTI risks infection with multi-resistant organisms and treatment failure, leading to urosepsis. Improving the management of UTIs is important for patient safety and antimicrobial stewardship.

This short ‘Best Practice Reminder’ document has been developed to inform primary care prescribers about avoiding the prescribing of nitrofurantoin in patients with suspected pyelonephritis, the rationale behind this and what can be prescribed in its place.

⇩ Best Practice Reminder: Avoid Nitrofurantoin in the Treatment of Pyelonephritis 180KB (PDF)

(February 2021 - Original publication)