American Association of Critical-Care Nurses (AACN) Certification Practice Test

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How long should TMP-SMX (Bactrim) DS be taken for treating uncomplicated UTI?

  1. 1 day

  2. 3 days

  3. 5 days

  4. 7 days

The correct answer is: 3 days

The recommended duration for treating uncomplicated urinary tract infections (UTIs) with TMP-SMX (Bactrim) DS is typically three days. This treatment length is established based on clinical guidelines and studies indicating that a short course of antibiotics is effective in resolving symptoms and eradicating the infection in otherwise healthy individuals with uncomplicated UTIs. In contrast, longer treatment durations are often reserved for more complicated cases or specific patient populations, such as pregnant women or those with recurrent infections, where a longer course might be needed to ensure complete resolution and to prevent recurrences. Studies have shown that extending treatment beyond three days offers minimal additional benefit for uncomplicated cases, which is why guidelines favor this shorter duration. Therefore, opting for three days strikes a balance between effectiveness and minimizing antibiotic resistance concerns.