A 25-year-old with suspected pyelonephritis, stable, can take PO. First-line outpatient therapy?...

Question

A 25-year-old with suspected pyelonephritis, stable, can take PO. First-line outpatient therapy?

Accepted Answer

Ciprofloxacin if local resistance acceptable or TMP-SMX if susceptible

Answer

Nitrofurantoin 100 mg BID 5 days

Answer

Fosfomycin single dose

Answer

Amoxicillin

Answer

No antibiotics until culture returns

us-abfm MCQ (SBA): Acute Pyelonephritis