ASB in Pregnancy — DRCOG MCQ

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ModerateObstetrics & GynecologyASB in PregnancyDRCOG

A 29-year-old presents with first-trimester asymptomatic bacteriuria (E. coli 10^5 CFU/mL). Best management?

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Correct answer: A — Treat with a safe antibiotic in pregnancy for 4-7 days

Explanation lettering: D = shown as B · E = shown as D · B = shown as E

Asymptomatic bacteriuria in pregnancy should be treated to prevent pyelonephritis and adverse outcomes; use beta-lactams or nitrofurantoin (avoid in specific windows). No treatment (B) is unsafe; fluoroquinolones or aminoglycosides (C, D) are avoided; delaying treatment (E) is inappropriate.

Reference: Secondary Source: ACOG Clinical Consensus (2023): Urinary Tract Infections in Pregnancy