5th May 2024

A 68-year-old woman with a history of type 2 diabetes presents with new onset dysuria and frequency.

A 68-year-old woman with a history of type 2 diabetes presents with new onset dysuria and frequency. She also reports a low-grade fever and suprapubic tenderness. Urinalysis is positive for nitrites and leukocytes. She has no history of antibiotic use in the past 3 months.

Which is the most appropriate initial management?