Question

A 26-year-old pregnant woman at 18 weeks’ gestation presents with dysuria and urinary frequency. She is afebrile and has no flank pain. Urine dipstick is positive for nitrites and leucocytes. What is the most appropriate management?

Accepted Answer

Start an appropriate oral antibiotic such as Nitrofurantoin for 7 days

Answer

Reassure that urinary infections are normal in pregnancy and do not treat

Answer

Give trimethoprim without checking stage of pregnancy

Answer

Prescribe ciprofloxacin as first-line

Answer

Delay antibiotics until a midstream urine culture is available

Practice question

A 26-year-old pregnant woman at 18 weeks’ gestation presents with dysuria and urinary frequency. She is afebrile and has no flank pain. Urine dipstick is positive for nitrites and leucocytes. What is the most appropriate management?