Lower UTI eGFR adequate — GPhC CRA MCQ

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EasyInfectionsLower UTI eGFR adequateGPhC CRA

A non-pregnant woman with uncomplicated lower UTI has eGFR 68 and no fever. Local guidance is consistent with national recommendations. What is the most appropriate alternative?

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Correct answer: A — Nitrofurantoin

Nitrofurantoin is commonly used first line for uncomplicated lower UTI when renal function is adequate. In this vignette, "Nitrofurantoin" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS