Question

A 14-week pregnant patient has asymptomatic bacteriuria with ≥100,000 CFU/mL E. coli. Best management?

Accepted Answer

Nitrofurantoin 100 mg twice daily for 5 days with test-of-cure

Answer

Observe and repeat culture only

Answer

Single-dose fosfomycin is contraindicated

Answer

No antibiotics unless pyuria is present

Answer

Trimethoprim-sulfamethoxazole for 3 days regardless of trimester

Practice question

A 14-week pregnant patient has asymptomatic bacteriuria with ≥100,000 CFU/mL E. coli. Best management?