Question

A 24-year-old pregnant woman at 14 weeks’ gestation is found on routine screening to have asymptomatic bacteriuria with Escherichia coli on urine culture. She has no urinary symptoms. What is the most appropriate management?

Accepted Answer

Treat with an appropriate antibiotic course

Answer

Reassure and take no action as she is asymptomatic

Answer

Repeat the culture in 6 months

Answer

Advise increased fluid intake only

Answer

Start prophylactic antibiotics for the entire pregnancy

Practice question

A 24-year-old pregnant woman at 14 weeks’ gestation is found on routine screening to have asymptomatic bacteriuria with Escherichia coli on urine culture. She has no urinary symptoms. What is the most appropriate management?