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.
Community PollStarted
How do you approach recurrent asymptomatic bacteriuria in pregnant patients who do not have a history of recurrent urinary tract infections or pyelonephritis?
16 physicians have voted
Join Mednetto vote and see how they answered.
2 Answers
Mednet Member
Infectious Disease · University of Miami, Miller School of Medicine
Answered on
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 screenin...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Infectious Disease · UT Southwestern School of Medicine
Answered on
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...
Join for free or sign in to see the full answer