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What is the best treatment for UTI in pregnancy?

What is the best treatment for UTI in pregnancy?

Oral nitrofurantoin and cephalexin are good antibiotic choices for treatment in pregnant women with asymptomatic bacteriuria and acute cystitis, but parenteral antibiotic therapy may be required in women with pyelonephritis.

Is UTI treatment safe during pregnancy?

Some antibiotic treatments for urinary tract infections (UTIs), such as nitrofurantoin and trimethoprim-sulfamethoxazole, have been linked to birth defects. The American College of Obstetricians and Gynecologists (ACOG) recommends avoiding these antibiotic treatments in early pregnancy if possible.

What is first line treatment for UTI in pregnancy?

Table II

Asymptomatic bacteriuria
First line treatment Amoxicillin 500 mg every 8–12 h – for 3–7 days
Cephalexin 500 mg every 12/6 h – for 3–7 days
FDA cat. B Amoxicillin/clavulanic acid 500 mg every 12 h – for 3–7 days
Nitrofurantoin 100 mg every 12 h – for 5–7 days*

Can ciprofloxacin affect pregnancy?

Most studies have not found an increased chance for birth defects when ciprofloxacin is taken during the first trimester of pregnancy. Because most of these studies included people taking ciprofloxacin for only 5 to 7 days, the effects of long-term use in a pregnancy are not well known.

What antibiotics for UTI are safe during pregnancy?

Amoxicillin and cephalexin (Keflex) are usually the first-choice antibiotics for a UTI during pregnancy. Other antibiotics might be used as second-choice options, but only at certain times during pregnancy. Some antibiotics aren’t safe at any point during pregnancy.

Can a pregnant woman take ciprofloxacin?

According to the Centers for Disease Control and Prevention (CDC), ciprofloxacin (500 mg, orally, two times a day for 60 days) is the antibiotic of choice for initial prophylactic therapy among asymptomatic pregnant women exposed to Bacillus anthracis.

Can ciprofloxacin cause miscarriage?

One study found an increased risk of spontaneous abortion for quinolones as a class and for ciprofloxacin, levofloxacin, norfloxacin, moxifloxacin and oflxacin specifically.

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