Question

A 29-year-old pregnant individual (18 weeks) develops acute pyelonephritis. Best management?

Accepted Answer

Inpatient IV beta-lactam (e.g., ceftriaxone) with transition to oral to complete 14 days

Answer

Outpatient oral therapy only

Answer

Nitrofurantoin monotherapy

Answer

Trimethoprim-sulfamethoxazole in first trimester

Answer

No antibiotics until culture returns

Practice question

A 29-year-old pregnant individual (18 weeks) develops acute pyelonephritis. Best management?