A 25-year-old woman presents with dysuria, urinary frequency and suprapubic discomfort for two days. She is otherwise well with no fever or flank pain...

Question

A 25-year-old woman presents with dysuria, urinary frequency and suprapubic discomfort for two days. She is otherwise well with no fever or flank pain. Urinalysis shows nitrites and leukocytes. She is not pregnant. What is the most appropriate management

Accepted Answer

Prescribe a short course of oral Nitrofurantoin

Answer

Reassure with no treatment as symptoms are likely viral

Answer

Give a delayed antibiotic prescription only

Answer

Arrange urgent renal ultrasound before treatment

Answer

Admit for intravenous antibiotics

uk-plab-1 MCQ (SBA): Uncomplicated urinary tract infection

A 25-year-old woman presents with dysuria, urinary frequency and suprapubic discomfort for two days. She is otherwise well with no fever or flank pain. Urinalysis shows nitrites and leukocytes. She is not pregnant. What is the most appropriate management