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UTI in late pregnancy — GPhC CRA MCQ

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HardInfectionsUTI in late pregnancyGPhC CRA

A GP asks whether to prescribe nitrofurantoin for a 30-year-old pregnant woman at 38 weeks with lower UTI symptoms. She has no fever and no loin pain. What is the most appropriate alternative?

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

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Correct answer: B — Contact the prescriber to consider an antibiotic suitable near term based on culture and guidance

Antibiotic choice in pregnancy depends on gestation, culture results and safety. Nitrofurantoin is commonly used in pregnancy but is generally avoided at term because of neonatal haemolysis risk. UTI in pregnancy should be treated, not simply observed. Trimethoprim and doxycycline have pregnancy-related cautions and should not be suggested casually as OTC-style alternatives.

Reference: BNF; NICE CKS UTI in pregnancy