For a patient with dysuria and frequency, what is the most appropriate follow-up action?

In the case of a patient presenting with dysuria and frequency, the most appropriate follow-up action involves ordering a urinalysis and treating with antibiotics. This approach is standard practice when an uncomplicated urinary tract infection (UTI) is suspected based on the symptoms reported.

The urinalysis helps confirm the presence of nitrites, leucocyte esterase, white blood cells, and bacteria, which supports the diagnosis of a UTI. Following this, initiating antibiotic treatment is appropriate as many patients experience symptom relief quite rapidly, making timely intervention critical. If the symptoms align with typical uncomplicated cystitis, this action addresses the immediate need for symptom management.

In other scenarios, such as potentially more complicated infections or atypical cases, further actions like urine cultures might be considered. However, for uncomplicated presentations, it is efficient to begin treatment based on urinalysis results while ensuring that follow-up care is provided, especially if symptoms do not improve.