I have a 14 y/o female with dysuria and pelvic cramping for 2 days. No vaginal or urinary bleeding. No menarche. Pt is not sexually active. Pt does not have any fever, nausea, vomiting or flank pain. No significant history of recurrent UTIs in the past.
Point of care UA shows moderate leukocyte esterase and positive nitrites.Assuming this is a UTI, Keflex treatment recommendation is 7-14 days. Is a 7 days course adequate and effective for this patient, compared to a longer duration?