Question

A 34-year-old woman with dysuria and frequency during pregnancy (12 weeks' gestation) has urine culture with 10⁵ CFU/mL E. coli without fever. Best management?

Accepted Answer

Nitrofurantoin or beta-lactam for 5-7 days

Answer

No treatment because asymptomatic bacteriuria does not require therapy in pregnancy

Answer

Trimethoprim-sulfamethoxazole throughout first trimester

Answer

Fluoroquinolone for 3 days

Answer

Single-dose fosfomycin is contraindicated in pregnancy

Practice question

A 34-year-old woman with dysuria and frequency during pregnancy (12 weeks' gestation) has urine culture with 10⁵ CFU/mL E. coli without fever. Best management?