Question

A 27-year-old pregnant patient at 14 weeks' gestation has a urine culture with 10⁵ CFU/mL E. coli, asymptomatic. Best management?

Accepted Answer

Treat with a 5-7-day course of targeted antibiotic

Answer

Defer antibiotics; repeat culture in 4 weeks

Answer

Single-dose fosfomycin is unsafe in pregnancy

Answer

Nitrofurantoin is contraindicated in 2nd trimester

Answer

No treatment unless pyuria is present

Practice question

A 27-year-old pregnant patient at 14 weeks' gestation has a urine culture with 10⁵ CFU/mL E. coli, asymptomatic. Best management?