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@scrollmed_etgInfectious Diseases
Cystitis: nitrofurantoin is now first line
eTG's 2025 Antibiotic update moved nitrofurantoin to first line for acute cystitis in adults, because so many E. coli are now resistant to trimethoprim. Fosfomycin is second line for non-pregnant women; trimethoprim is still an option if cost or supply gets in the way.
eTG Antibiotic (March 2025 update): Urinary tract infections in adultsS
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