Question

A 26-year-old at 18 weeks' gestation has acute cystitis (positive culture for E. coli). She has no drug allergies and no signs of pyelonephritis. Best regimen?

Accepted Answer

Nitrofurantoin 100 mg BID for 5 days

Answer

Ciprofloxacin 500 mg BID for 3 days

Answer

Trimethoprim-sulfamethoxazole for 3 days in any trimester

Answer

No antibiotics; repeat culture in 2 weeks

Answer

Amoxicillin-clavulanate 875/125 mg BID for 1 day

Practice question

A 26-year-old at 18 weeks' gestation has acute cystitis (positive culture for E. coli). She has no drug allergies and no signs of pyelonephritis. Best regimen?