Antimicrobial Use Guidelines (AMUG) version 21 - UW Health

sulfa and can be prescribed topatients with a sulfa allergyUncomplicated Acute Ciprofloxacin 500 mg PO BID for 10Pyelonephritis in Women 7 days (preferred) or trimethoprimsulfamethoxazole160/800 mg PO BIDfor 14 daysChlamydial Infection 8,9 Doxycycline 100 mg PO BID for 7days-If compliance is an issuesingle-dose azithromycin 1 g($) may be more cost-effectivechoiceGonococcal Infection 8,10Genital Herpes – FirstEpisode or EpisodicAntiviral Treatment 11Ciprofloxacin 500 mg single dose-if treated of acquired in Hawaii, Asiaor Pacific use cefixime 400 mg POsingle doseAcyclovir 200 mg PO five times dailyfor five daysChlamydial infectionaccompanies 10-30% ofgonococcal infections soroutine dual therapy may becost-effectiveBacterial Vaginosis 8,12 Metronidazole 500 mg PO BID for 5-7days or metronidazole 2 g POimmediatelyVulvovaginalCandidiasis 8,13Trichomonas vaginalis 8,14Clotrimazole 1% cream 5 gintravaginally daily for 7-14 days ($) orclotrimazole 100 mg one vaginal tabletdaily for 7 days or two vaginal tabletsdaily for 3 days ($) or fluconazole 150mg oral tablet single doseMetronidazole 2 g PO single dose ormetronidazole 500 mg PO BID for 5-7daysAcute or ChronicCiprofloxacin 500 mg PO BID for 28Bacterial Prostatitis 15,16 daysRespiratory InfectionsBronchitis 17,18Pharyngitis (due to groupA streptococci) 19,20Routine antibiotic treatment is notjustified unless pertussis infections issuspected or in the situation of acuteexacerbation of chronic bronchitisPenicillin V 250-500 mg PO 3-4 timesdaily for 10 days-Limit antibiotic prescribing topatients who are most likely tohave pharyngitis due toinfections with Group A betahemolyticStreptococcus(GABHS) as evidenced bydiagnostic testing and/or two