UTI in pregnancy

Question 1

How to manage asymptomatic bacteriuria in pregnancy and why?

Answer 1

Treat with antibiotics

25% progress to pyelonephritis

Question 2

How do you screen for asymptomatic bacteriuria in pregnancy?

Answer 2

Do a mid-stream urine in 1st trimester

Question 3

1st line management for asymptomatic bacteriuria or UTI in 1st or 2nd trimester?

Answer 3

Nitrofurantoin

Question 4

1st line management for asymptomatic bacteriuria or UTI in 3rd trimester?

Answer 4

Trimethoprim

Question 5

2nd line management for asymptomatic bacteriuria or UTI in pregnancy?

Answer 5

Cefalexin

Question 6

How do you manage recurrent asymptomatic bacteriuria or UTI in pregnancy?

Answer 6

If 2 or more mid-stream urines come back positive,

Test every 3-4 weeks and treat if positive.

Question 7

Antibiotics for pyelonephritis in pregnancy?

Answer 7

Co-amoxiclav IV or PO

Question 8

Antibiotics for pyelonephritis in pregnancy if penicillin allergic?

Answer 8

Oral cefalexin or IV ceftriaxone