A 28-year-old non-pregnant woman presents with 2 days of dysuria, urinary frequency and suprapubic discomfort. She is afebrile, with no flank pain or ...

Question

A 28-year-old non-pregnant woman presents with 2 days of dysuria, urinary frequency and suprapubic discomfort. She is afebrile, with no flank pain or systemic features. Urinalysis shows nitrites and leukocytes. What is the most appropriate first-line empirical treatment?

Accepted Answer

Oral nitrofurantoin 100 mg twice daily for 5 days

Answer

Oral ciprofloxacin 500 mg twice daily for 3 days

Answer

Oral trimethoprim-sulfamethoxazole for 10 days

Answer

No antibiotics, increase oral fluids only

Answer

Single IV dose of gentamicin then discharge

au-racgp MCQ (SBA): Uncomplicated urinary tract infection

A 28-year-old non-pregnant woman presents with 2 days of dysuria, urinary frequency and suprapubic discomfort. She is afebrile, with no flank pain or systemic features. Urinalysis shows nitrites and leukocytes. What is the most appropriate first-line empirical treatment?