Comments from Expert Advisory Committee
- Send MSU for culture.
- Nitrofurantion- should be avoided after 36 weeks due to risk of neonatal haemolysis.
- Fosfomycin - Recommendation for use in pregnancy remains under review pending further evidence and safety data
- Refer to local resistance patterns for empiric therapy where available and refer to MSU results. Amoxicillin resistance is common – only use if susceptibility data available.
- Review empirical treatment with results of MSU culture and susceptibility.
*Seek specialist/microbiologist advice in case of penicillin allergy in pregnant patients
Reviewed Jan 2021