A 41-year-old woman with suspected UTI in pregnancy at 28 weeks presents with flank pain and fever of 102.4°F. Urinalysis is positive for nitrites and...

Question

A 41-year-old woman with suspected UTI in pregnancy at 28 weeks presents with flank pain and fever of 102.4°F. Urinalysis is positive for nitrites and leukocyte esterase. What is the best management?

Accepted Answer

Hospitalize for IV antibiotics for pyelonephritis in pregnancy

Answer

Oral nitrofurantoin outpatient

Answer

Fluoroquinolone outpatient

Answer

No antibiotics until culture returns

Answer

TMP-SMX outpatient for 3 days

us-usmle-step-2 MCQ (SBA): Pyelonephritis in Pregnancy

A 41-year-old woman with suspected UTI in pregnancy at 28 weeks presents with flank pain and fever of 102.4°F. Urinalysis is positive for nitrites and leukocyte esterase. What is the best management?