Question

A 26-year-old pregnant patient with suspected pyelonephritis (fever, CVA tenderness) at 18 weeks. Best initial management?

Accepted Answer

Inpatient IV beta-lactam (e.g., ceftriaxone)

Answer

Outpatient oral nitrofurantoin

Answer

Outpatient oral fosfomycin

Answer

Trimethoprim-sulfamethoxazole outpatient

Answer

No antibiotics until cultures return

Practice question

A 26-year-old pregnant patient with suspected pyelonephritis (fever, CVA tenderness) at 18 weeks. Best initial management?