Some Indications for TMP/SMX

Indication

Comments

Bacterial prostatitis

Primary alternative to fluoroquinolones

Uncomplicated cystitis in women

As effective as fluoroquinolones for empiric short-course (3-day) therapy if the rate of TMP/SMX resistance is < 15%

Prophylaxis for recurrent urinary tract infections in women and recurrent urinary tract infections in children

Use of 1/2 to 1 double-strength tablet every night or every other night or, for women with previous recurrences after coitus, after coitus

Treatment of Pneumocystis jirovecii pneumonia and prophylaxis of this infection in patients with AIDS or cancer

Medication of choice

Intestinal infections due to various bacteria (eg, Shigella species, Vibrio species, Escherichia coli) and the protozoans Cystoisospora and Cyclospora species

Usefulness limited by increasing prevalence of resistance

Nocardia and Listeria monocytogenes infections

Community-associated methicillin-resistant Staphylococcus aureus infections

Medication of choice for oral treatment of uncomplicated infections caused by community-associated methicillin-resistant S. aureus

TMP/SMX =