Question

A 28-year-old pregnant woman at 20 weeks gestation is found to have asymptomatic bacteriuria on routine screening urine culture with Escherichia coli 10⁵ CFU/mL. She feels well and has no urinary symptoms. What is the most appropriate management?

Accepted Answer

Treat with an appropriate oral antibiotic for 3-7 days and repeat culture to confirm clearance.

Answer

No treatment is necessary because she is asymptomatic.

Answer

Repeat urine culture in 3 months only.

Answer

Start long-term suppressive antibiotics for the remainder of pregnancy.

Answer

Advise increased fluids only.

Practice question

A 28-year-old pregnant woman at 20 weeks gestation is found to have asymptomatic bacteriuria on routine screening urine culture with Escherichia coli 10⁵ CFU/mL. She feels well and has no urinary symptoms. What is the most appropriate management?