Question

A 32-year-old pregnant woman at 18 weeks gestation presents with fever, flank pain and dysuria. She is febrile and systemically unwell. What is the most appropriate management of her urinary tract infection?

Accepted Answer

Intravenous broad-spectrum antibiotics and hospital admission

Answer

Oral trimethoprim for 3 days as an outpatient

Answer

Oral nitrofurantoin for 3 days as an outpatient

Answer

No antibiotics are needed; symptomatic treatment only

Answer

Single dose of fosfomycin and discharge

Practice question

A 32-year-old pregnant woman at 18 weeks gestation presents with fever, flank pain and dysuria. She is febrile and systemically unwell. What is the most appropriate management of her urinary tract infection?