Question

A 30-year-old pregnant woman at 16 weeks presents with dysuria and frequency. She is afebrile and systemically well. Urinalysis is positive for nitrites and leukocytes. According to NICE guidance, what is the most appropriate management?

Accepted Answer

Give a 7-day course of an appropriate antibiotic such as Nitrofurantoin, and send urine for culture.

Answer

Do not treat unless she develops fever or flank pain.

Answer

Give a 3-day course of Nitrofurantoin as in non-pregnant women.

Answer

Give Trimethoprim 200 mg twice daily throughout pregnancy.

Answer

Use ciprofloxacin because it has the best tissue penetration.

Practice question

A 30-year-old pregnant woman at 16 weeks presents with dysuria and frequency. She is afebrile and systemically well. Urinalysis is positive for nitrites and leukocytes. According to NICE guidance, what is the most appropriate management?