Question

A 24-year-old pregnant patient at 14 weeks has asymptomatic bacteriuria with E. coli >= 10^5 CFU/mL. Penicillin allergy is a benign rash. Best management?

Accepted Answer

Treat with nitrofurantoin 100 mg BID for 5 days

Answer

Do not treat until symptomatic

Answer

Single-dose fosfomycin is contraindicated in pregnancy

Answer

Start trimethoprim-sulfamethoxazole in first trimester

Answer

Repeat urine culture in 4 weeks without antibiotics

Practice question

A 24-year-old pregnant patient at 14 weeks has asymptomatic bacteriuria with E. coli >= 10^5 CFU/mL. Penicillin allergy is a benign rash. Best management?