Question

A 39-year-old woman presents with dysuria, frequency and loin pain with fever 38.8°C. You suspect acute pyelonephritis. She is otherwise healthy and can tolerate oral medication. What is the most appropriate empirical antibiotic strategy in primary care according to NICE guidance?

Accepted Answer

A 7–10 day course of an oral antibiotic active against upper urinary tract infection, such as oral Ciprofloxacin or Co-amoxiclav, guided by local guidelines

Answer

No antibiotics while awaiting urine culture

Answer

A 3-day course of Nitrofurantoin

Answer

Single-dose Fosfomycin only

Answer

Topical antibiotics

Practice question

A 39-year-old woman presents with dysuria, frequency and loin pain with fever 38.8°C. You suspect acute pyelonephritis. She is otherwise healthy and can tolerate oral medication. What is the most appropriate empirical antibiotic strategy in primary care according to NICE guidance?