Pregnant
- Pre/1-week post treatment urine cultures recommended followed by monthly urine cultures during remainder of pregnancy.
- Quinolones are not recommended in pregnancy.
Usual Pathogens
E. coli
Other Enterobacterales
S. agalactiae (Group B Strep)
S. saprophyticus
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Nitrofurantoin | Macrobid 100mg PO bid or | 7 days |
| 50-100mg PO qid | ||
| or | ||
| Cephalexin | 250-500mg PO qid | 7 days |
| or | ||
| Cefixime | 400mg PO daily | 7 days |
Alternative
| Empiric Therapy | Dose | Duration |
|---|---|---|
| TMP/SMX | 1 DS tab PO bid | 7 days |