UTI in pregnancy

Question 1

UTI in pregnancy inc risk of

Answer 1

preterm delivery

Question 2

asymptomatic bacteriuria

Answer 2

bacteria present in urine w/o infective symptoms

Question 3

testing for asymptomatic bacteruriua

Answer 3

at booking and routinely throughout pregnancy

microscopy, culture and sensitivites

Question 4

lower UTI presentation

Answer 4

dysuria 
suprapubic pain 
inc frequency 
urgency 
haematuria

Question 5

pyelonephritis presentation

Answer 5

fever
loin, suprapubic, back pain 
vomit
malaise
loss appetite
haematuria

Question 6

urinalysis - nitrites

Answer 6

gram negatie bacteria - e.coli

Question 7

Mx

Answer 7

UTI in pregnancy requires 7 days of antib

nitrofurantoin
amoxicillin (only after sensitivities known)
cefalexin

Question 8

nutrofuratoin use in pregnancy

Answer 8

needs to be avoided in 3rd trimester - risk of neonatal haemolysis

Question 9

trimethoprim use in pregnancy

Answer 9

avoid in 1st trimester as works as folate antagonist - risk congenital malformations esp neural tube defects

generalyy avoided unless necessary