A 26-year-old non-pregnant woman presents with 2 days of dysuria and urinary frequency, without fever or flank pain. Urinalysis shows nitrites and leu...

Question

A 26-year-old non-pregnant woman presents with 2 days of dysuria and urinary frequency, without fever or flank pain. Urinalysis shows nitrites and leucocytes. She has no significant past history and no recent antibiotic use. What is the most appropriate initial management?

Accepted Answer

Empiric oral trimethoprim for 3 days

Answer

Await urine culture before starting treatment

Answer

Empiric oral ciprofloxacin for 7 days

Answer

Single dose of IV gentamicin

Answer

Empiric oral nitrofurantoin for 14 days

au-racgp MCQ (SBA): Uncomplicated cystitis in women

A 26-year-old non-pregnant woman presents with 2 days of dysuria and urinary frequency, without fever or flank pain. Urinalysis shows nitrites and leucocytes. She has no significant past history and no recent antibiotic use. What is the most appropriate initial management?