Question

A 28-year-old pregnant patient (12 weeks) has asymptomatic bacteriuria with E. coli ≥10^5 CFU/mL. Appropriate management?

Accepted Answer

Fosfomycin 3 g PO once or nitrofurantoin 100 mg PO BID for 5-7 days

Answer

No antibiotics-observe

Answer

Trimethoprim-sulfamethoxazole for 7 days in first trimester

Answer

Fluoroquinolone for 3 days

Answer

Repeat urine culture in 4 weeks only, no treatment needed

Practice question

A 28-year-old pregnant patient (12 weeks) has asymptomatic bacteriuria with E. coli ≥10^5 CFU/mL. Appropriate management?