Question

A 32-year-old woman presents with fever, flank pain and rigors. She has right costovertebral angle tenderness and is tachycardic. Urinalysis shows leukocytes and nitrites. She is vomiting and unable to tolerate oral medications. What is the most appropriate initial antibiotic management?

Accepted Answer

IV ceftriaxone

Answer

Oral trimethoprim

Answer

Oral nitrofurantoin

Answer

Oral cephalexin

Answer

No antibiotics until urine culture results are available

Practice question

A 32-year-old woman presents with fever, flank pain and rigors. She has right costovertebral angle tenderness and is tachycardic. Urinalysis shows leukocytes and nitrites. She is vomiting and unable to tolerate oral medications. What is the most appropriate initial antibiotic management?