Question

A 30-year-old woman at 16 weeks' gestation is found to have asymptomatic bacteriuria with >10^5 CFU/mL Escherichia coli on routine antenatal screening urine culture. She is otherwise well. According to Australian practice, what is the most appropriate management?

Accepted Answer

Treat with an appropriate oral antibiotic for 3-7 days and repeat urine culture after completion

Answer

No treatment is required for asymptomatic bacteriuria in pregnancy

Answer

Start long-term suppressive antibiotics until delivery

Answer

Treat only if she develops dysuria or fever

Answer

Defer treatment until the third trimester

Practice question

A 30-year-old woman at 16 weeks' gestation is found to have asymptomatic bacteriuria with >10^5 CFU/mL Escherichia coli on routine antenatal screening urine culture. She is otherwise well. According to Australian practice, what is the most appropriate management?