A 35-year-old woman presents to the clinic with dysuria and…
A 35-year-old woman presents to the clinic with dysuria and urinary urgency for the past 2 days. She denies fever, chills, or flank pain. She also denies any history of recurrent UTIs or recent antibiotic use. She has a sulfa drug allergy. Her vitals are BP 120/78 mmHg, HR 78 bpm, Temp 98.6°F. On physical exam, she has no tenderness to her abdomen or CVA bilaterally but has suprapubic tenderness. A Point-of-Care Urinalysis was completed, which resulted in positive leukocyte esterase and nitrites with moderate bacteria. Based on the urinalysis findings and clinical presentation, what is the best initial treatment?