Question

A 27-year-old pregnant patient at 20 weeks has E. coli pyelonephritis with fever and flank pain. Best initial management?

Accepted Answer

Inpatient intravenous ceftriaxone with transition to oral based on response

Answer

Outpatient oral nitrofurantoin for 7 days

Answer

Trimethoprim-sulfamethoxazole outpatient

Answer

Single-dose fosfomycin and discharge

Answer

No antibiotics until urine culture finalised

Practice question

A 27-year-old pregnant patient at 20 weeks has E. coli pyelonephritis with fever and flank pain. Best initial management?