UTI

Question 1

Asymptomatic UTI

Answer 1

Treat all positive urine culture

Question 2

Drugs for UTI

Answer 2

PcN, nitrofurantoin, cephalosporine
Avoid FLUOROQUINOLONES
Avoid septa in first trimester due to neural tubular defect

Question 3

Follow up UTI treatment

Answer 3

follow up urine culture in 1 week post treatment, urine culture monthly till delivery

Question 4

Complication of untreated UTI

Answer 4

preterm birth, low birth weight

Question 5

HSV infection

Answer 5

1st episode herpes infection in non pregnant women: acyclovir 400mg po TID x 14 days regardless of timing of infection
Recurrent herpes or primary herpes during pregnancy: acyclovir 400mg po TID starting at 36 wks through delivery

Question 6

Active genital herpes

Answer 6

cesarean delivery should be offered as soon as possible to women who have active lesions or, in those with a history of genital herpes or pro-dromal symptoms at the time of delivery.