A 28-year-old woman presents with a 1-day history of fever, rigors, loin pain, dysuria, and vomiting. Her temperature is 39.2°C, heart rate 115/min, a...

Question

A 28-year-old woman presents with a 1-day history of fever, rigors, loin pain, dysuria, and vomiting. Her temperature is 39.2°C, heart rate 115/min, and BP 100/60 mmHg. Urine dipstick is positive for leucocytes, nitrites, and blood. What is the most appropriate initial management setting according to NICE guidelines?

Accepted Answer

Urgent hospital admission

Answer

Oral antibiotics at home with safety netting

Answer

Intramuscular ceftriaxone in GP surgery then home

Answer

Increased oral fluid intake and paracetamol at home

Answer

Referral to urology outpatient clinic

ukmla MCQ (SBA): Acute Pyelonephritis