Question

A 26-year-old primigravida at 22 weeks' gestation has an asymptomatic urine culture showing 10⁵ CFU/mL of Escherichia coli. She feels well. What is the most appropriate management?

Accepted Answer

Treat with appropriate antibiotics for 3-7 days

Answer

No treatment is required if she is asymptomatic

Answer

Repeat the culture in 4 weeks and treat only if still positive

Answer

Start prophylactic antibiotics for the remainder of pregnancy

Answer

Advise increased fluid intake only

Practice question

A 26-year-old primigravida at 22 weeks' gestation has an asymptomatic urine culture showing 10⁵ CFU/mL of Escherichia coli. She feels well. What is the most appropriate management?