A 24-year-old at 15 weeks' gestation has a screening urine culture with 100,000 CFU/mL Escherichia coli and no urinary symptoms. What is the recommend...

Question

A 24-year-old at 15 weeks' gestation has a screening urine culture with 100,000 CFU/mL Escherichia coli and no urinary symptoms. What is the recommended management?

Accepted Answer

Treat with a 5-7-day targeted antibiotic course (e.g., nitrofurantoin 100 mg twice daily) and obtain a test-of-cure culture.

Answer

No treatment; asymptomatic bacteriuria should not be treated.

Answer

Three-day trimethoprim-sulfamethoxazole course.

Answer

Single-dose fosfomycin is contraindicated in pregnancy.

Answer

Delay treatment until third trimester to minimize teratogenicity.

us-usmle-step-2 MCQ (SBA): Asymptomatic Bacteriuria (Pregnancy)

A 24-year-old at 15 weeks' gestation has a screening urine culture with 100,000 CFU/mL Escherichia coli and no urinary symptoms. What is the recommended management?