UTI in pregnancy

Question 1

asymptomatic bacteriuria

Answer 1

bacteria present in urine w/o symptoms of infection

pregnant women tested for this throughout pregnancy - MC&S

Question 2

lower UTI features

Answer 2

dysuria 
suprapubic pain 
frequency 
urgency 
incontinence
haematuria

Question 3

pyelonephritis features

Answer 3

fever
loin, suprapubic, back pain 
vomit 
loss appetite
haematuria

Question 4

causes

Answer 4

e. coli
klebsiella pneumoniae
enterococcus
pseudomonas aeruginosa

Question 5

Mx - how long to give antib

Answer 5

7 days

Question 6

antibx options

Answer 6

nitrofurantoin
amoxicillin (only once sensitivities known)
cefalexin

Question 7

Nitrofurantoin in pregnancy

Answer 7

avoid in 3rd trimester - risk of neonatal haemolysis

Question 8

trimethoprim in pregnancy

Answer 8

needs to be avoided 1st trimester - folate antagonist

generally avoided thorughout pregnancy