Question

A 20-week pregnant patient has symptomatic acute cystitis. Urine culture is pending; she has no drug allergies. Best empiric therapy and duration?

Accepted Answer

Nitrofurantoin 100 mg PO twice daily for 5 days

Answer

Fosfomycin 3 g single dose empirically for all

Answer

Trimethoprim-sulfamethoxazole for 3 days

Answer

Ciprofloxacin 500 mg BID for 7 days

Answer

No antibiotics until culture returns

Practice question

A 20-week pregnant patient has symptomatic acute cystitis. Urine culture is pending; she has no drug allergies. Best empiric therapy and duration?