Module 9 Part 2 Acute Cystitis Pregnancy Flashcards
What are the first-line antibiotics for treating acute cystitis in pregnant women?
Cephalexin, Amoxicillin, Nitrofurantoin (or Macrobid), and Fosfomycin.
When should pregnant women susceptible to recurrent infections have follow-up cultures?
Monthly follow-up cultures are recommended.
How long is the typical course of treatment for TMP/SMX and trimethoprim in pregnant women?
A 3-day course is usually sufficient.
Why is amoxicillin use limited in pregnant women for cystitis?
Due to high amoxicillin resistance in community E. coli, it should only be used after confirming susceptibility.
When is nitrofurantoin contraindicated in pregnancy?
Nitrofurantoin is contraindicated in pregnant patients at term (36-42 weeks of gestation) and during labor due to the risk of hemolytic anemia.
Why should trimethoprim and TMP/SMX be avoided during the first trimester and the last six weeks of pregnancy?
These antibiotics may pose risks, and there is concern about their effects on the fetus.
What should be considered when local resistance to TMP/SMX is expected to be high?
Alternatives to TMP/SMX should be considered for treatment.
