Question

A 28-year-old pregnant woman at 14 weeks’ gestation presents with dysuria and frequency. She has no fever or flank pain. Urine dipstick is positive for nitrites and leukocytes. What is the most appropriate antibiotic choice?

Accepted Answer

Nitrofurantoin for 7 days (avoiding near term)

Answer

Trimethoprim for 3 days

Answer

Ciprofloxacin for 3 days

Answer

Doxycycline for 7 days

Answer

No antibiotics; treat only if symptomatic at 20 weeks

Practice question

A 28-year-old pregnant woman at 14 weeks’ gestation presents with dysuria and frequency. She has no fever or flank pain. Urine dipstick is positive for nitrites and leukocytes. What is the most appropriate antibiotic choice?