A 29-year-old woman at 20 weeks' gestation presents with fever, flank pain and rigors. She has costovertebral angle tenderness bilaterally and is tach...

Question

A 29-year-old woman at 20 weeks' gestation presents with fever, flank pain and rigors. She has costovertebral angle tenderness bilaterally and is tachycardic. Urinalysis suggests infection. What is the most appropriate antibiotic management?

Accepted Answer

Intravenous ceftriaxone in hospital

Answer

Oral trimethoprim as an outpatient

Answer

Oral ciprofloxacin 500 mg twice daily

Answer

Nitrofurantoin 100 mg twice daily for 3 days

Answer

No antibiotics until urine culture results are available

au-racp MCQ (SBA): Pyelonephritis in pregnancy

A 29-year-old woman at 20 weeks' gestation presents with fever, flank pain and rigors. She has costovertebral angle tenderness bilaterally and is tachycardic. Urinalysis suggests infection. What is the most appropriate antibiotic management?