Advances in the Treatment of Urinary Tract Infection and Bacteriuria in Pregnancy

Allison Grant; Ketty Bai; Gina M Badalato; Matthew P Rutman

doi:10.1016/j.ucl.2024.07.001

Advances in the Treatment of Urinary Tract Infection and Bacteriuria in Pregnancy

Urol Clin North Am. 2024 Nov;51(4):571-583. doi: 10.1016/j.ucl.2024.07.001. Epub 2024 Aug 17.

Authors

Allison Grant¹, Ketty Bai², Gina M Badalato², Matthew P Rutman²

Affiliations

¹ Department of Urology, 161 Fort Washington Avenue, 11th floor, New York, NY 10032, USA. Electronic address: ALG2247@cumc.columbia.edu.
² Department of Urology, 161 Fort Washington Avenue, 11th floor, New York, NY 10032, USA.

PMID: 39349024
DOI: 10.1016/j.ucl.2024.07.001

Abstract

Understanding the management of asymptomatic bacteriuria (ASB) and urinary tract infection (UTI) during pregnancy is important, given the prevalence of these conditions, associated risks to the mother and fetus /newborn, and potential requirement for antibiotic treatment. Screening for ASB with a urine culture is required during pregnancy, and a positive culture is treated for 5 to 7 days with culture-specific antibiotics. Recent research on non-antibiotic prevention and shortened duration of antibiotic treatment may offer a slightly different approach to ASB and UTI in pregnancy.

Keywords: Antibiotics in pregnancy; Asymptomatic bacteriuria; Pregnancy; Pyelonephritis; Urinary tract infection.

Publication types

Review

MeSH terms

Anti-Bacterial Agents* / therapeutic use
Bacteriuria* / diagnosis
Bacteriuria* / drug therapy
Female
Humans
Pregnancy
Pregnancy Complications, Infectious* / diagnosis
Pregnancy Complications, Infectious* / drug therapy
Pregnancy Complications, Infectious* / microbiology
Urinary Tract Infections* / diagnosis
Urinary Tract Infections* / drug therapy
Urinary Tract Infections* / microbiology

Substances

Anti-Bacterial Agents