UTI in Pregnancy

UTI in pregnancy

PHE URINE

CKS

UKtis

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

7 days

IF susceptible, Amoxicillin

500mg TDS

7 days

Second line: Cefalexin

500mg BD

7 days