A 29-year-old pregnant patient at 12 weeks' gestation is found to have asymptomatic bacteriuria with urine culture growing 100,000 CFU/mL E coli. She

Question

A 29-year-old pregnant patient at 12 weeks' gestation is found to have asymptomatic bacteriuria with urine culture growing 100,000 CFU/mL E coli. She has no dysuria, fever, or flank pain. She has no medication allergies. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat with a pregnancy-compatible antibiotic and confirm clearance

Answer

Treat with doxycycline for 21 days

Answer

Delay therapy until postpartum

Answer

Give ciprofloxacin as first-line therapy

Answer

Ignore because she has no symptoms

Asymptomatic bacteriuria in pregnancy — USMLE Step 3 MCQ

A 29-year-old pregnant patient at 12 weeks' gestation is found to have asymptomatic bacteriuria with urine culture growing 100,000 CFU/mL E coli. She has no dysuria, fever, or flank pain. She has no medication allergies. Which of the following is the most appropriate next step in management?