A 14-week pregnant patient's urine culture grows 10⁵ CFU/mL E. coli; she has no urinary symptoms. What is the recommended management?...

Question

A 14-week pregnant patient's urine culture grows 10⁵ CFU/mL E. coli; she has no urinary symptoms. What is the recommended management?

Accepted Answer

Treat with an appropriate 4-7 day antibiotic regimen (e.g., nitrofurantoin 100 mg BID for 5 days, if susceptible)

Answer

Do not treat asymptomatic bacteriuria in pregnancy

Answer

Single-dose fosfomycin is contraindicated in pregnancy

Answer

Treat only if pyuria is present

Answer

Wait to repeat culture in 4 weeks before treating

us-abfm MCQ (SBA): Asymptomatic Bacteriuria in Pregnancy