Question

A 45-year-old man with no chronic disease presents with a 3-day history of dysuria and urinary frequency. He is afebrile and not systemically unwell. Urinalysis shows leucocytes and nitrites. What is the MOST appropriate empiric management in general practice?

Accepted Answer

Oral trimethoprim or nitrofurantoin for 7 days

Answer

No antibiotics; provide fluids and observe

Answer

Single-dose trimethoprim 300 mg

Answer

Intravenous gentamicin in the community

Answer

Ciprofloxacin for 14 days

Practice question

A 45-year-old man with no chronic disease presents with a 3-day history of dysuria and urinary frequency. He is afebrile and not systemically unwell. Urinalysis shows leucocytes and nitrites. What is the MOST appropriate empiric management in general practice?