Lower UTI in Pregnancy
Antimicrobial prescribing: NHS Forth Valley
Group B Strep in urine samplesUTI in pregnancy
Please use - NHS FV Obstetrics Lower UTI in Pregnancy - without systemic infection guidance
Send MSU for culture and start antibiotics in all with significant positive culture, even if asymptomatic.
Guidance on interpreting Group B Strep in urine samples available - HERE
Drug details
First line: Nitrofurantoin
(avoid if near term – risk of neonatal haemolysis)
50mg immediate release capsules QDS
(or 100mg MR capsules if above preparation is unavailable)
7 days
IF susceptible, Amoxicillin
500mg TDS
7 days
Second line: Cefalexin
500mg BD
7 days