Topics:
Infectious Disease • General Infectious Disease
What is your approach to recurrent asymptomatic bacteriuria in pregnancy for patients without personal history of recurrent UTIs or pyelonephritis?
Assuming patient already received an initial course of antibiotic treatment in response to a positive urine culture during routine screening early in pregnancy.
Answer from: at Community Practice
There is a paucity of good data in this field. In my opinion:
The data remain weak (after 70 years of study) that we should be screening for ASB in pregnancy in the first place (whether or not they have a history of recurrent UTI or pyelonephritis). However, guidelines generally agree that screen...
Sign in or Register to read more
Answer from: at Academic Institution
I recommend checking routine screens and treating accordingly if the screens are sporadically positive. However, if urine cultures are persistently positive, recommend keeping patient on a low dose chronic suppressive antibiotic for the entire pregnancy (as pregnancy is one of the 2 times (the other...