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.
First line: Nitrofurantoin
(avoid if near term – risk of neonatal haemolysis)
100mg MR BD
IF susceptible, Amoxicillin
Second line: Cefalexin