A 23-year-old sexually active woman presents with two weeks of dysuria and urinary frequency without fever or flank pain. She has no structural urinar...

Question

A 23-year-old sexually active woman presents with two weeks of dysuria and urinary frequency without fever or flank pain. She has no structural urinary tract abnormalities and is not pregnant. Urinalysis shows pyuria and bacteriuria. According to Canadian guidelines, what is the most appropriate first-line therapy?

Accepted Answer

Five-day course of nitrofurantoin

Answer

Single-dose fosfomycin

Answer

Seven-day course of ciprofloxacin

Answer

Ten-day course of trimethoprim-sulfamethoxazole

Answer

No antibiotic; reassure and observe

ca-mccqe1 MCQ (SBA): Acute uncomplicated cystitis