Question

A 66-year-old woman with diabetes and chronic kidney disease stage 3 presents with fever, dysuria, flank pain, and chills. She is hypotensive and appears ill. Urinalysis shows pyuria and bacteriuria. What is the most appropriate empiric antibiotic therapy?

Accepted Answer

No antibiotics until urine culture results are available

Answer

Oral nitrofurantoin

Answer

Oral trimethoprim-sulfamethoxazole

Answer

Intravenous ceftriaxone

Answer

Intravenous ampicillin alone

Practice question

A 66-year-old woman with diabetes and chronic kidney disease stage 3 presents with fever, dysuria, flank pain, and chills. She is hypotensive and appears ill. Urinalysis shows pyuria and bacteriuria. What is the most appropriate empiric antibiotic therapy?