A 78-year-old woman with type 2 diabetes and a history of recurrent UTIs presents with dysuria, frequency, and suprapubic pain. Her eGFR is 28 mL/min/...

Question

A 78-year-old woman with type 2 diabetes and a history of recurrent UTIs presents with dysuria, frequency, and suprapubic pain. Her eGFR is 28 mL/min/1.73m². Urine dipstick shows leucocytes +++ and nitrites ++. She has a temperature of 37.6°C. Which antibiotic is MOST appropriate for treatment?

Accepted Answer

Cefalexin 500 mg TDS for 3 days

Answer

Nitrofurantoin 100 mg BD for 7 days

Answer

Trimethoprim 200 mg BD for 3 days

Answer

Amoxicillin 500 mg TDS for 3 days

Answer

Ciprofloxacin 250 mg BD for 3 days

uk-dgm MCQ (SBA): UTI Antibiotic Selection in Severe CKD

A 78-year-old woman with type 2 diabetes and a history of recurrent UTIs presents with dysuria, frequency, and suprapubic pain. Her eGFR is 28 mL/min/1.73m². Urine dipstick shows leucocytes +++ and nitrites ++. She has a temperature of 37.6°C. Which antibiotic is MOST appropriate for treatment?