A 26-year-old otherwise healthy woman presents with dysuria and urinary frequency for 2 days. She is afebrile and denies flank pain or vaginal dischar...

Question

A 26-year-old otherwise healthy woman presents with dysuria and urinary frequency for 2 days. She is afebrile and denies flank pain or vaginal discharge. Urinalysis is positive for leukocytes and nitrites. According to Canadian primary care guidance, what is the most appropriate treatment?

Accepted Answer

Nitrofurantoin 100 mg orally twice daily for 5 days

Answer

Reassure her; no antibiotics are required

Answer

A 14-day course of intravenous ceftriaxone

Answer

High-dose ciprofloxacin for 14 days

Answer

Routine urine culture before starting antibiotics in all such cases

ca-mccqe1 MCQ (SBA): Uncomplicated cystitis

A 26-year-old otherwise healthy woman presents with dysuria and urinary frequency for 2 days. She is afebrile and denies flank pain or vaginal discharge. Urinalysis is positive for leukocytes and nitrites. According to Canadian primary care guidance, what is the most appropriate treatment?