A primary care NP sees a patient who has fever,flank pain,and dysuria.The patient has a history of recurrent urinary tract infections (UTIs)and completed a course of trimethoprim-sulfamethoxazole (TMP/SMX)the week before.A urine test is positive for leukocyte esterase.The NP sends the urine for culture and should treat this patient empirically with:

Question

Quizplus · Accepted Answer

Fluoroquinolones are effective in treatment of UTIs that are resistant to other antibiotics.Because this patient recently completed a course of TMP/SMX,the NP can assume that the bacterium causing the infection is resistant to TMP/SMX.Gemifloxacin is not indicated for UTI,but ciprofloxacin is.Azithromycin is not a fluoroquinolone.

A Primary Care NP Sees a Patient Who Has Fever,flank