A 35-year-old woman presents with fever, flank pain and dysuria. She is systemically unwell with temperature 39.5 °C but haemodynamically stable. Urin...

Question

A 35-year-old woman presents with fever, flank pain and dysuria. She is systemically unwell with temperature 39.5 °C but haemodynamically stable. Urinalysis shows nitrites and leukocytes. Which empirical regimen is most appropriate?

Accepted Answer

Initial intravenous ceftriaxone followed by oral therapy once improving

Answer

Oral trimethoprim 300 mg once daily for 3 days

Answer

Single-dose fosfomycin only

Answer

Oral ciprofloxacin 250 mg twice daily for 3 days

Answer

No antibiotics; treat with fluids alone

au-amc MCQ (SBA): Acute pyelonephritis management

A 35-year-old woman presents with fever, flank pain and dysuria. She is systemically unwell with temperature 39.5 °C but haemodynamically stable. Urinalysis shows nitrites and leukocytes. Which empirical regimen is most appropriate?