A 48-year-old man returns to your clinic 5 days after completing 7 days of ciprofloxacin for a febrile urinary tract infection. He reports persistent dysuria, perineal discomfort, hesitancy and pain with ejaculation, and has had low-grade fevers at home. He has no allergies, takes no regular medications and has had no recent urinary instrumentation. He is eating and drinking normally. On gentle digital rectal examination the prostate is tender and boggy; no prostatic massage is performed. The urine culture from the initial visit grew Escherichia coli susceptible to ciprofloxacin and trimethoprim-sulfamethoxazole. Urinalysis today shows pyuria (leukocytes more than 10 per high-power field) and a repeat urine culture has been sent. Creatinine is normal.
| Heart rate | 88/min |
| Respiratory rate | 16/min |
| Temperature | 37.9 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 128/78 mm Hg |
Question 1 of 30
Which of the following are the most appropriate medication options for this patient?
Select 2. (0 / 2 selected)
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