Question

A 28-year-old pregnant woman at 14 weeks’ gestation presents with dysuria and urinary frequency. She is afebrile and otherwise well. Urine dipstick suggests infection. According to NICE guidance, how should this be managed?

Accepted Answer

Start an appropriate oral antibiotic such as nitrofurantoin (if not near term) and send urine for culture

Answer

Reassure and withhold antibiotics as she has no fever

Answer

Give trimethoprim for 10 days without culture

Answer

Start long-term prophylactic antibiotics until delivery

Answer

Prescribe NSAIDs for analgesia only

Practice question

A 28-year-old pregnant woman at 14 weeks’ gestation presents with dysuria and urinary frequency. She is afebrile and otherwise well. Urine dipstick suggests infection. According to NICE guidance, how should this be managed?