A 20-year-old woman comes to the physician because of a 2-day history of dysuria, increased urinary frequency, and urgency. The patient has no fever, flank pain, nausea, or vomiting. She has no chronic medical conditions and no known drug allergie. She is sexually active with her new boyfriend, and they use condoms inconsistently. Her temperature is 37.2°C (99.0°F). Examination shows suprapubic tenderness to palpation. Pelvic examination shows normal-appearing external genitalia. Which of the following is the most appropriate pharmacotherapy for this patient?

Question

A 20-year-old woman comes to the physician because of a 2-day history of dysuria, increased urinary frequency, and urgency. The patient has no fever, flank pain, nausea, or vomiting.  She has no chronic medical conditions and no known drug allergie. She is sexually active with her new boyfriend, and they use condoms inconsistently. Her temperature is 37.2°C (99.0°F). Examination shows suprapubic tenderness to palpation. Pelvic examination shows normal-appearing external genitalia. Which of the following is the most appropriate pharmacotherapy for this patient?

Quizplus · Accepted Answer

Eductional Objective: Acute simple cystitis often occurs in young, otherwise healthy women, particularly following sexual intercourse.  Common manifestations include dysuria, urinary frequency/urgency, and urinalysis evidence of pyuria/bacteriuria.  Empiric treatment with nitrofurantoin or trimethoprim-sulfamethoxazole is typically curative.

A 20-Year-Old Woman Comes to the Physician Because of a 2-Day