A 24-year-old postpartum patient with fever 102.2°F and flank pain has E. coli pyelonephritis. She is breastfeeding and has no drug allergies. She ask...

Question

A 24-year-old postpartum patient with fever 102.2°F and flank pain has E. coli pyelonephritis. She is breastfeeding and has no drug allergies. She asks if nitrofurantoin is adequate. Best response?

Accepted Answer

Treat with an appropriate systemic agent; nitrofurantoin does not achieve renal tissue levels

Answer

Nitrofurantoin is appropriate for pyelonephritis

Answer

No antibiotics needed

Answer

Use single-dose fosfomycin

Answer

Avoid breastfeeding for 2 weeks

us-abfm MCQ (SBA): Pyelonephritis Therapy Principle

A 24-year-old postpartum patient with fever 102.2°F and flank pain has E. coli pyelonephritis. She is breastfeeding and has no drug allergies. She asks if nitrofurantoin is adequate. Best response?