In a 63-year-old woman with a kidney transplant experiencing dysuria and tenesmus, what empirical antibiotics could be considered if a urine culture cannot be performed?

For a 63-year-old woman with a kidney transplant experiencing dysuria and tenesmus, no direct comparative evidence exists; however, empirical antibiotics such as third- or fourth-generation cephalosporins, piperacillin-tazobactam, or fluoroquinolones could be considered, tailoring to local resistance patterns and patient-specific factors.