Question

A 26-year-old pregnant woman at 20 weeks has recurrent symptomatic UTIs despite appropriate treatment. Which prophylactic strategy is most appropriate?

Accepted Answer

Continuous low-dose antibiotic prophylaxis such as nightly nitrofurantoin (if appropriate) under obstetric guidance

Answer

No prophylaxis; UTIs are benign in pregnancy

Answer

High-dose fluoroquinolone prophylaxis

Answer

Avoid antibiotics due to teratogenicity

Answer

Long-term IV antibiotics via PICC line

Practice question

A 26-year-old pregnant woman at 20 weeks has recurrent symptomatic UTIs despite appropriate treatment. Which prophylactic strategy is most appropriate?