Question

A 30-year-old pregnant woman at 16 weeks gestation presents with dysuria and frequency. Urinalysis shows nitrites and leucocytes. She has no systemic symptoms. She is otherwise well and has no drug allergies. What is the most appropriate antibiotic choice?

Accepted Answer

Nitrofurantoin (avoiding use at term) for 7 days

Answer

Trimethoprim for 3 days

Answer

Ciprofloxacin for 7 days

Answer

Doxycycline for 7 days

Answer

No antibiotics; observe and repeat urine in 1 week

Practice question

A 30-year-old pregnant woman at 16 weeks gestation presents with dysuria and frequency. Urinalysis shows nitrites and leucocytes. She has no systemic symptoms. She is otherwise well and has no drug allergies. What is the most appropriate antibiotic choice?