A 27-year-old woman presents with dysuria, urinary frequency and suprapubic discomfort for 2 days. She is afebrile, not pregnant, and has no flank pai...

Question

A 27-year-old woman presents with dysuria, urinary frequency and suprapubic discomfort for 2 days. She is afebrile, not pregnant, and has no flank pain or vaginal discharge. There is no history of recent antibiotic use. What is the most appropriate management in a Canadian primary care setting?

Accepted Answer

Three-day course of oral trimethoprim-sulfamethoxazole or nitrofurantoin

Answer

Urine culture and no treatment until results return

Answer

Seven-day course of a fluoroquinolone

Answer

Immediate renal ultrasound to exclude obstruction

Answer

Single dose of intramuscular ceftriaxone

ca-mccqe1 MCQ (SBA): Acute uncomplicated cystitis

A 27-year-old woman presents with dysuria, urinary frequency and suprapubic discomfort for 2 days. She is afebrile, not pregnant, and has no flank pain or vaginal discharge. There is no history of recent antibiotic use. What is the most appropriate management in a Canadian primary care setting?