Question

A 32-year-old pregnant woman at 10 weeks' gestation presents with asymptomatic bacteriuria on routine screening (mid-stream urine culture shows >10⁵ CFU/mL Escherichia coli). What is the most appropriate management?

Accepted Answer

Short course of nitrofurantoin or cephalexin with repeat urine culture

Answer

No treatment as she is asymptomatic

Answer

Single dose of fosfomycin without follow-up

Answer

Trimethoprim-sulfamethoxazole for 10 days

Answer

Wait until symptoms develop

Practice question

A 32-year-old pregnant woman at 10 weeks' gestation presents with asymptomatic bacteriuria on routine screening (mid-stream urine culture shows >10⁵ CFU/mL Escherichia coli). What is the most appropriate management?