A 28-year-old woman with dysuria, 14 weeks pregnant, has urine culture with 10⁵ CFU/mL E. coli. She has no fever or flank pain. Best management?...

Question

A 28-year-old woman with dysuria, 14 weeks pregnant, has urine culture with 10⁵ CFU/mL E. coli. She has no fever or flank pain. Best management?

Accepted Answer

Treat asymptomatic bacteriuria with a 5-7 day targeted antibiotic (e.g., nitrofurantoin if susceptible)

Answer

No treatment unless symptomatic

Answer

Single-dose fosfomycin is contraindicated in pregnancy

Answer

Delay therapy until third trimester

Answer

Use fluoroquinolone first-line

us-usmle-step-2 MCQ (SBA): Asymptomatic Bacteriuria in Pregnancy