Question

A 28-year-old with uncomplicated cystitis symptoms is asymptomatic and pregnant at 12 weeks; urine culture shows ≥100,000 CFU/mL E. coli. Best management?

Accepted Answer

Treat asymptomatic bacteriuria with a pregnancy-safe antibiotic

Answer

Observe without treatment

Answer

Start nitrofurantoin until term regardless of sensitivity

Answer

Treat only if pyuria is present

Answer

Delay therapy until second trimester ultrasound

Practice question

A 28-year-old with uncomplicated cystitis symptoms is asymptomatic and pregnant at 12 weeks; urine culture shows ≥100,000 CFU/mL E. coli. Best management?