Question

A 27-year-old pregnant patient (10 weeks) is screened and found to have asymptomatic bacteriuria with E. coli 10⁵ CFU/mL. What is the best management?

Accepted Answer

Treat with a 5-7 day targeted antibiotic course

Answer

Do not treat; observe

Answer

Single-dose fosfomycin is contraindicated in pregnancy

Answer

Begin daily suppressive antibiotics for entire pregnancy

Answer

Repeat urine culture at 36 weeks only

Practice question

A 27-year-old pregnant patient (10 weeks) is screened and found to have asymptomatic bacteriuria with E. coli 10⁵ CFU/mL. What is the best management?