Question

A 23-year-old woman presents with a 3-day history of dysuria and urinary frequency. She is afebrile, not pregnant and otherwise healthy. Urine dipstick is positive for nitrites and leukocytes. What is the most appropriate management?

Accepted Answer

Start empirical short-course oral antibiotic for uncomplicated lower UTI

Answer

Send urine for culture only and withhold antibiotics

Answer

Arrange urgent ultrasound of the renal tract

Answer

Start IV antibiotics in hospital

Answer

Reassure without treatment because she is young

Practice question

A 23-year-old woman presents with a 3-day history of dysuria and urinary frequency. She is afebrile, not pregnant and otherwise healthy. Urine dipstick is positive for nitrites and leukocytes. What is the most appropriate management?