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Asymptomatic bacteriuria — DRCOG MCQ

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ModerateAntenatal CareAsymptomatic bacteriuriaDRCOG

A 27-year-old pregnant woman at 24 weeks has completed antibiotics for asymptomatic Escherichia coli bacteriuria found on routine culture. She has no dysuria, fever or loin pain. What is the most appropriate investigation?

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

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Correct answer: A — Repeat urine culture to confirm clearance

After treatment of bacteriuria in pregnancy, repeat urine culture is used to confirm clearance because recurrence and pyelonephritis risk matter. CT or cystoscopy is not appropriate without recurrent or complicated features. The pearl is that pregnancy changes the follow-up threshold for bacteriuria.

Reference: NICE NG201; NICE CKS Urinary tract infection in pregnancy