system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 28-year-old gravida 2 para 1 is receiving care from her obstetrician at 28 weeks. She states that she has been having suprapubic pain and urinary frequency for the past week. Her past medical history is significant for dermatomyositis for which she takes prednisone every day. She does not smoke cigarettes or drinks alcohol. Her vital signs are within normal limits. Physical examination of the patient is within normal limits. A urine sample from the patient shows > 100,000 CFU of Escherichia coli. Urinalysis results are provided as follows:
Leukocyte esterase  positive
WBC 50-100 cells/HPF
Nitrite positive
RBC 2 cells/HPF
Epithelial cells 2 cells/HPF
Urine pH 5.2
Which of the following is the best pharmacotherapy for this patient’s condition?
assistant
Nitrofurantoin