UTI's in pregnant women Flashcards

1
Q

Managment

A

Uncomplicated UTI

Obtain urinalysis and urine culture💥

Empiric treatment options
1.Aminopenicillins such as amoxicillin-clavulanate
2.Oral cephalosporins (e.g., cefpodoxime)
3.Fosfomycin
Alternatives (especially during the 2nd and 3rd trimesters): TMP-SMX, nitrofurantoin!

Complicated UTI

Hospitalization and administration of intravenous antibiotic (also see pyelonephritis in pregnancy)
Follow-up culture is required.

Complications: preterm labor, low birth weight, ↑ perinatal mortality

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