Which patient with a urinary tract infection will require hospitalization and intravenous antibiotics?
a. A 5-year-old child with a fever of 100.5° F, dysuria, and bacteriuria
b. A pregnant woman with bacteriuria, suprapubic pain, and fever
c. A young man with dysuria, flank pain, and a previous urinary tract infection
d. An older adult man with a low-grade fever, flank pain, and an indwelling catheter
ANS: D
The patient with an indwelling catheter and signs of pyelonephritis shows signs of a complicated UTI, which is best treated with intravenous antibiotics. The other three patients show signs of uncomplicated urinary tract infections that are not severe and can be treated with oral antibiotics.
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