Question

A 26-year-old pregnant woman at 18 weeks’ gestation presents with dysuria and frequency. She is otherwise well and apyrexial. Urine dipstick is positive for nitrites and leucocytes. What is the most appropriate initial antibiotic treatment?

Accepted Answer

Nitrofurantoin for 3–7 days (avoiding use near term if possible).

Answer

Trimethoprim for 3 days.

Answer

Ciprofloxacin for 3 days.

Answer

No antibiotics are needed during pregnancy if asymptomatic.

Answer

Co-amoxiclav for 14 days.

Practice question

A 26-year-old pregnant woman at 18 weeks’ gestation presents with dysuria and frequency. She is otherwise well and apyrexial. Urine dipstick is positive for nitrites and leucocytes. What is the most appropriate initial antibiotic treatment?