A 30-year-old woman at 24 weeks of gestation presents to the GP with right-sided loin pain and dysuria. Her temperature is 38.4°C and she has right re...

Question

A 30-year-old woman at 24 weeks of gestation presents to the GP with right-sided loin pain and dysuria. Her temperature is 38.4°C and she has right renal angle tenderness. Urine dipstick shows nitrites and leucocytes. Which is the single most appropriate management?

Accepted Answer

Refer for same-day hospital assessment for intravenous antibiotics

Answer

Prescribe oral nitrofurantoin for 7 days and manage in primary care

Answer

Prescribe oral cefalexin for 7 days and manage in primary care

Answer

Send an MSU and defer antibiotics until culture results are available

Answer

Prescribe oral trimethoprim for 7 days

uk-drcog MCQ (SBA): Pyelonephritis in Pregnancy

A 30-year-old woman at 24 weeks of gestation presents to the GP with right-sided loin pain and dysuria. Her temperature is 38.4°C and she has right renal angle tenderness. Urine dipstick shows nitrites and leucocytes. Which is the single most appropriate management?