Question

A 29-year-old pregnant woman at 20 weeks' gestation presents with dysuria, frequency and suprapubic discomfort. Urinalysis shows nitrites and leucocytes. She has no systemic symptoms. According to Australian guidelines for UTIs in pregnancy, what is the most appropriate management?

Accepted Answer

Empirical nitrofurantoin for 5-7 days with urine culture

Answer

Reassure; no treatment is needed if she is afebrile

Answer

Empirical trimethoprim for 3 days

Answer

Empirical ciprofloxacin for 3 days

Answer

Empirical doxycycline for 7 days

Practice question

A 29-year-old pregnant woman at 20 weeks' gestation presents with dysuria, frequency and suprapubic discomfort. Urinalysis shows nitrites and leucocytes. She has no systemic symptoms. According to Australian guidelines for UTIs in pregnancy, what is the most appropriate management?