UTI in pregnancy

Question 1

What are the symptoms of lower UTI in pregnancy?

Answer 1

Dysuria
Suprapubic pain
Frequency
Urgency
Incontinence
Haematuria

Question 2

What are the symptoms of pyelonephritis in pregnancy?

Answer 2

Fever
Vomiting
Loss of appetite
Back, loin suprapubic pain
Haematuria
Renal angle tenderness

Question 3

What investigations are used to diagnose UTI in pregnancy?

Answer 3

Dipstick
- Leucocytes and nitrites
MSU culture and sensitivity
- All urine samples with positive leucocytes or nitrites are sent off for culture

Question 4

What is the most common cause of UTI in pregnancy?

Answer 4

E coli

Question 5

What are the other causes of UTI in pregnancy?

Answer 5

Klebsiella pneumoniae
Enterococcus
Psuedomonas aeruginosa
Staphylococcus saprophiticus
Candida albicans

Question 6

How many days of antibiotics does UTI in pregnancy require?

Answer 6

7 day course

Question 7

What antibiotics are used to treat UTI in pregnancy?

Answer 7

Nitrofurantoin
Amoxicillin
Cefalexin

Question 8

When should nitrofurantoin be avoided in pregnancy?

Answer 8

In the third trimester (due to risk of neonatal haemolysis)

Question 9

Which antibiotics are safe to use in UTI throughout pregnancy?

Answer 9

Cephalosporins