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An otherwise healthy 28-year-old woman has had two episodes of acute cystitis within the past 6 months. The patient is sexually active and has intercourse with her husband on average 2 times per week and says her cystitis does not seem to be intercourse related. Each time, symptoms remit after a single course of trimethoprim- sulfamethoxazole. The patient is currently asymptomatic but will be traveling abroad for the next 2 months and is concerned about recurrent infections. Her only medication is an oral contraceptive for birth control. She reports no allergies.
Which of the following is the most appropriate management?
(A) Ciprofloxacin after intercourse
(B) Ciprofloxacin for 10 days when symptoms develop
(C) Trimethoprim chronic suppressive therapy
(D) Trimethoprim-sulfamethoxazole for 3 days when symptoms
An otherwise healthy 28-year-old woman has had two episodes of acute cystitis within the past 6 months. The patient is sexually active and has intercourse with her husband on average 2 times per week and says her cystitis does not seem to be intercourse related. Each time, symptoms remit after a single course of trimethoprim- sulfamethoxazole. The patient is currently asymptomatic but will be traveling abroad for the next 2 months and is concerned about recurrent infections. Her only medication is an oral contraceptive for birth control. She reports no allergies.
Which of the following is the most appropriate management?
(A) Ciprofloxacin after intercourse
(B) Ciprofloxacin for 10 days when symptoms develop
(C) Trimethoprim chronic suppressive therapy
(D) Trimethoprim-sulfamethoxazole for 3 days when symptoms