A 30-year-old pregnant patient at 14 weeks' gestation is screened and found to have asymptomatic bacteriuria with E. coli 10^5 CFU/mL, susceptible to ...

Question

A 30-year-old pregnant patient at 14 weeks' gestation is screened and found to have asymptomatic bacteriuria with E. coli 10^5 CFU/mL, susceptible to nitrofurantoin and cephalexin; no allergies. Which treatment is most appropriate?

Accepted Answer

Nitrofurantoin 100 mg orally twice daily for 5 days

Answer

Trimethoprim-sulfamethoxazole DS twice daily for 14 days

Answer

No treatment is indicated

Answer

Ciprofloxacin 500 mg twice daily for 3 days

Answer

Single-dose fosfomycin is contraindicated in pregnancy

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

A 30-year-old pregnant patient at 14 weeks' gestation is screened and found to have asymptomatic bacteriuria with E. coli 10^5 CFU/mL, susceptible to nitrofurantoin and cephalexin; no allergies. Which treatment is most appropriate?