A 33-year-old woman with urinary tract infection symptoms is pregnant at 14 weeks gestation. A urine culture grows Escherichia coli ≥10⁵ colony-formin...

Question

A 33-year-old woman with urinary tract infection symptoms is pregnant at 14 weeks gestation. A urine culture grows Escherichia coli ≥10⁵ colony-forming units/mL, but she is asymptomatic. What is the best course of action?

Accepted Answer

Treat asymptomatic bacteriuria with a 5-7 day targeted antibiotic course.

Answer

No treatment is needed.

Answer

Treat only if pyuria is present.

Answer

Delay treatment until the third trimester.

Answer

Use a fluoroquinolone empirically.

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

A 33-year-old woman with urinary tract infection symptoms is pregnant at 14 weeks gestation. A urine culture grows Escherichia coli ≥10⁵ colony-forming units/mL, but she is asymptomatic. What is the best course of action?