Urinary tract infection in pregnancy — DRCOG MCQ

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ModerateAntenatal CareUrinary tract infection in pregnancyDRCOG

A 24-year-old woman at 16 weeks has urinary frequency and dysuria. She is afebrile, has no loin pain and has no drug allergies. Urine dipstick shows nitrites and leucocytes. What is the most appropriate investigation?

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Correct answer: E — Midstream urine culture

A pregnant woman with lower urinary tract symptoms should have a midstream urine culture to confirm infection and sensitivities, while treatment is started according to local guidance. A high vaginal swab does not identify urinary pathogens. CT is not appropriate for uncomplicated lower UTI in pregnancy. The pearl is that culture confirmation matters because untreated bacteriuria in pregnancy increases pyelonephritis risk.

Reference: NICE CKS UTI in pregnancy; BNF