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Pregnancy UTI antibiotic — GPhC CRA MCQ

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ModerateInfectionsPregnancy UTI antibioticGPhC CRA

A 26-year-old woman who is 24 weeks pregnant is prescribed nitrofurantoin for a lower UTI. Her renal function is normal and she has no systemic symptoms. She asks if it is suitable in pregnancy. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Nitrofurantoin can be used in pregnancy when appropriate, but should be reviewed near term

Nitrofurantoin is commonly used for lower UTI in pregnancy when suitable and renal function is adequate. It is generally avoided near term because of neonatal haemolysis risk. Untreated UTI in pregnancy can have important complications, so appropriate treatment should not be delayed.

Reference: NICE CKS; BNF