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Asymptomatic bacteriuria — DRCOG MCQ

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HardAntenatal CareAsymptomatic bacteriuriaDRCOG

At 13 weeks, urine culture shows significant Escherichia coli bacteriuria in an asymptomatic pregnant woman. Susceptibility results are available. What should be done?

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Correct answer: D — Treat with a susceptible pregnancy-compatible antibiotic course

The best answer is “Treat with a susceptible pregnancy-compatible antibiotic course”. Asymptomatic bacteriuria is treated during pregnancy because it increases pyelonephritis and preterm-birth risk. Antibiotic choice should follow culture susceptibility and pregnancy safety, using a seven-day course from the NICE options; treatment should be reviewed against results and local follow-up practice.

Reference: NICE NG109: Lower urinary tract infection antimicrobial prescribing: https://www.nice.org.uk/guidance/ng109/chapter/recommendations