A 28-year-old woman at 16 weeks of gestation attends the GP. She is found to have asymptomatic bacteriuria on a routine midstream urine culture (10⁵ ...

Question

A 28-year-old woman at 16 weeks of gestation attends the GP. She is found to have asymptomatic bacteriuria on a routine midstream urine culture (>10⁵ CFU/mL of E. coli). She has no urinary symptoms. Which is the single most appropriate management?

Accepted Answer

Treat with an appropriate antibiotic - asymptomatic bacteriuria in pregnancy should be treated to reduce the risk of pyelonephritis

Answer

No treatment required as she is asymptomatic

Answer

Repeat MSU in 4 weeks before deciding on treatment

Answer

Prescribe prophylactic cranberry capsules

Answer

Refer to urology

uk-drcog MCQ (SBA): Asymptomatic Bacteriuria - Treatment Required

A 28-year-old woman at 16 weeks of gestation attends the GP. She is found to have asymptomatic bacteriuria on a routine midstream urine culture (>10⁵ CFU/mL of E. coli). She has no urinary symptoms. Which is the single most appropriate management?