Question

Juanita is a 28-year-old pregnant woman at 38 weeks’ gestation who is diagnosed with a lower urinary tract infection (UTI). She is healthy with no drug allergies. Appropriate first-line therapy for her UTI would be:

A.Azithromycin
B.Trimethoprim/sulfamethoxazole
C.Amoxicillin
D.Ciprofloxacin

Answer 1

The most appropriate first-line therapy for a lower urinary tract infection in a 28-year-old pregnant woman at 38 weeks’ gestation is Amoxicillin.

Step-by-step explanation:

Juanita, a 28-year-old pregnant woman at 38 weeks’ gestation diagnosed with a lower urinary tract infection (UTI), should be treated with a safe and appropriate antibiotic. Based on the information provided and following current medical guidelines for treating UTIs in pregnant women, the most appropriate first-line therapy would be Amoxicillin. This is due to the potential risks associated with other medications during pregnancy, such as the risk of teratogenic effects and the fact that some antibiotics are contraindicated. Ciprofloxacin and Trimethoprim/sulfamethoxazole should generally be avoided in pregnancy, especially in the first trimester and near term, respectively. Azithromycin is an alternative for some types of infections, but is not the first-line treatment for UTIs.