Data Interpretation Question 4.

Answers:
i) YES
ii) Yes treatment indicated, nitrofurantoin or augmentin, short course
iii) No other investigations necessary if simple UTI in young female.

4) Laboratory report on 27yr old female recently returned from honeymoon

WHITE CELL COUNT >100/hpf
RED CELL COUNT 50-100/hpf
Squamous cells 0/hpf

Culture:
Escherichia coli >100,000 cfu/ml

Antibiotic sensitivities:

• ampicillin - Resistant
  
• trimethoprim - Resistant
• nitrofurantoin - Sensitive
• augmentin - Sensitive

i) Does the patient have an urinary tract infection?
ii) Does the patient require treatment with antibiotics and if so which one and for how long?
iii) Any other investigations or advice.