A 26-year-old woman presents with dysuria and urinary frequency for 2 days. She is otherwise healthy, not pregnant and afebrile. Urine dipstick is pos...

Question

A 26-year-old woman presents with dysuria and urinary frequency for 2 days. She is otherwise healthy, not pregnant and afebrile. Urine dipstick is positive for nitrites and leucocytes. What is the most appropriate management?

Accepted Answer

Start a 3-day course of oral Nitrofurantoin

Answer

Send urine culture and withhold antibiotics until results are available

Answer

Start 14 days of broad-spectrum intravenous antibiotics

Answer

Arrange urgent ultrasound of kidneys and bladder

Answer

Treat with topical oestrogen

uk-plab-1 MCQ (SBA): Uncomplicated lower urinary tract infection

A 26-year-old woman presents with dysuria and urinary frequency for 2 days. She is otherwise healthy, not pregnant and afebrile. Urine dipstick is positive for nitrites and leucocytes. What is the most appropriate management?