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Urinary Tract Infection (Uti)

A urinary tract infection occurs when bacteria, usually from the gut, colonise the urethra or bladder. UTIs are among the most common bacterial infections worldwide and are particularly frequent in women, though men and children are also affected. In humid tropical climates, dehydration and heat can compound the risk.

Cipro

Ciprofloxacin

250 · 500 · 750 · 1000mg

Ciprofloxacin film-coated tablets from 250mg to 1000mg, used for urinary, respiratory and gastrointestinal bacterial infection. A fluoroquinolone.

From$0.71/ tabletView

Macrobid

Nitrofurantoin

50 · 100mg

Nitrofurantoin 50mg and 100mg prolonged-release capsules, used for cystitis and urinary tract infection. It damages bacterial DNA in the urinary tract.

From$0.48/ tabletView

Ceftin

Cefuroxime

250 · 500mg

Cefuroxime 250mg and 500mg film-coated tablets, used for pharyngitis, otitis media, urinary tract infection and pneumonia. A second-generation cephalosporin.

From$3.49/ tabletView

Rulide

Roxithromycin

150mg

Roxithromycin 150mg tablets, used for respiratory tract, skin and urinary tract infection. A macrolide that stops bacteria making proteins.

From$0.63/ tabletView

Furadantin

Nitrofurantoin

50 · 100mg

Nitrofurantoin 50mg and 100mg tablets, used for cystitis and urinary tract infection. Bacterial flavoproteins reduce it to reactive intermediates.

From$0.59/ tabletView

Key points

  • Gut bacteria travelling into the urethra or bladder are behind most infections, with women affected more often than men or children.
  • Burning during urination, frequent urgent trips to the toilet, and cloudy, strong-smelling urine are the tell-tale signs.
  • A short course of an antibiotic such as nitrofurantoin or ciprofloxacin usually clears an uncomplicated case.
  • Fever, chills, or pain low in the back can signal the infection has reached the kidneys and needs prompt review.

Recognising the symptoms

The hallmark signs are a burning sensation when passing urine, frequent and urgent trips to the toilet, and urine that looks cloudy or smells unusually strong. A dull ache or pressure low in the abdomen is common. Some people notice only one or two of these; others experience all of them at once.

How UTIs are treated

Most uncomplicated UTIs clear with a short course of antibiotics. Nitrofurantoin is widely used for bladder infections and works directly in the urinary tract. Ciprofloxacin is a broad-spectrum option often used when nitrofurantoin is unsuitable. Cefuroxime and roxithromycin may be chosen depending on the bacteria involved and local resistance patterns. Drinking generous amounts of water throughout treatment helps flush bacteria from the bladder and speeds recovery.

When to seek urgent attention

See a doctor the same day if you develop fever, shaking chills, or pain in the back or sides below the ribs. These point to a possible kidney infection (pyelonephritis), which needs a longer and often different antibiotic course. Blood in the urine, pregnancy, and UTIs in young children or older men also warrant prompt medical review rather than self-treatment.

Reducing the chance of another infection

Staying well-hydrated is the single most useful habit. Other practical steps: urinate soon after sex, wipe front to back, avoid holding on for long when the urge comes, and choose breathable underwear. If UTIs keep recurring despite these measures, a doctor can investigate whether an anatomical or hormonal factor is involved.

Further reading