Whether or not azithromycin can be used for urinary tract infections in women needs to be determined by the specific test results. If there is mycoplasma-chlamydia infection in the test, it is recommended to choose azithromycin for treatment, which is more effective in treating mycoplasma and chlamydia infections and can quickly control the infection to the extent of cure. However, urinary tract infections, commonly caused by Escherichia coli infection or Klebsiella infection, Enterococcus faecalis infection, etc., can be treated with quinolone antibiotics or cephalosporin antibiotics, but not azithromycin. The patient is advised to go to the hospital and undergo a clean middle urine culture plus drug sensitivity test to select the most sensitive antibiotic for targeted treatment. However, if the urine examination or the examination of secretion confirms the presence of mycoplasma or chlamydia, the patient can be treated with macrolide antibiotics, i.e. azithromycin or roxithromycin. For urinary tract infections caused by other pathogens, azithromycin is not preferred for treatment.