Spectrum: Local Antimicrobial Stewardship, for IWK Health Centre

UTI Patients less than or equal to 30 days of age

Most likely pathogens

Note

Imperative to check blood cultures and CSF cultures

IV therapy can be completed with oral antibiotics after clinical improvement, with negative blood and CSF cultures

Cephalexin is the preferred oral agent, if organism is susceptible.

Duration of therapy

10-14 days

Suggested regimen

Ampicillin

AND

Cefotaxime

OR

Gentamicin