Question

A 28-year-old at 10 weeks' gestation with asymptomatic bacteriuria (>100,000 CFU/mL E. coli). Best management?

Accepted Answer

Treat with pregnancy-safe antibiotic (e.g., nitrofurantoin except near term) for 5-7 days and test of cure

Answer

No treatment if asymptomatic

Answer

Single-dose fosfomycin only without follow-up

Answer

Delay treatment until second trimester

Answer

Use fluoroquinolone

Practice question

A 28-year-old at 10 weeks' gestation with asymptomatic bacteriuria (>100,000 CFU/mL E. coli). Best management?