UTI in Pregnancy
Send MSU for culture and start antibiotics in all with significant positive culture, even if asymptomatic.
Short-term use of nitrofurantoin in pregnancy is unlikely to cause problems to the foetus.
Drug details
First line: Nitrofurantoin
(avoid if near term – risk of neonatal haemolysis)
100mg MR BD
7 days
IF susceptible, Amoxicillin
500mg TDS
7 days
Second line: Cefalexin
500mg BD
7 days