Question

A 70-year-old woman living in a residential aged care facility presents with fever, rigors and right flank pain. She is hypotensive at 88/52 mmHg and has costovertebral angle tenderness. Urinalysis is positive for nitrites and leukocytes. Which is the most appropriate immediate management in the emergency department?

Accepted Answer

Admit for intravenous ceftriaxone and fluid resuscitation

Answer

Oral nitrofurantoin and discharge back to the facility

Answer

Single intramuscular ceftriaxone and review in 48 hours

Answer

No antibiotics pending urine culture results

Answer

Start oral trimethoprim and arrange outpatient imaging

Practice question