A 42-year-old man with acute dysuria and flank pain has pyelonephritis. He is stable and can tolerate PO. Best outpatient initial regimen?...

Question

A 42-year-old man with acute dysuria and flank pain has pyelonephritis. He is stable and can tolerate PO. Best outpatient initial regimen?

Accepted Answer

TMP-SMX DS bid 14 days (if local E. coli resistance

Answer

Nitrofurantoin 100 mg bid 5 days

Answer

Fosfomycin single dose

Answer

Amoxicillin 500 mg tid 7 days

Answer

No antibiotics if afebrile

us-abfm MCQ (SBA): Acute Pyelonephritis (outpatient)