A 26-year-old at 18 weeks' gestation has fever, flank pain, and pyelonephritis. Initial management?...

Question

A 26-year-old at 18 weeks' gestation has fever, flank pain, and pyelonephritis. Initial management?

Accepted Answer

Inpatient IV beta-lactam (e.g., ceftriaxone), then step-down based on culture

Answer

Outpatient oral nitrofurantoin for 7 days

Answer

Outpatient TMP-SMX for 3 days

Answer

Single-dose fosfomycin

Answer

No antibiotics; observe

us-abfm MCQ (SBA): Pyelonephritis in Pregnancy