Question

A 32-year-old woman presents with a 3-day history of dysuria, urinary frequency and suprapubic discomfort. She is afebrile and not pregnant, with no flank pain. What is the most appropriate first-line antibiotic for uncomplicated cystitis in this context?

Accepted Answer

Trimethoprim

Answer

Ciprofloxacin

Answer

Nitrofurantoin in renal failure

Answer

Intravenous gentamicin

Answer

No antibiotics; provide urinary alkalinisers only

Practice question

A 32-year-old woman presents with a 3-day history of dysuria, urinary frequency and suprapubic discomfort. She is afebrile and not pregnant, with no flank pain. What is the most appropriate first-line antibiotic for uncomplicated cystitis in this context?