Infections of the Genito-Urinary Tract during Pregnancy

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Urinary tract infection during pregnancy

Urine specimen for microscopy, culture and sensitivity where possible. Urine strips can also be used to detect UTI especially at the primary health care level.

First line:

	Medicine	Adult dose	Frequency	Duration**
	amoxicillin po	500mg	3 times a day	7 day
or	ciprofloxacin* po	500mg	2 times a day	7 days

*(avoid ciprofloxacin in first trimester or preferably avoid completely during pregnancy if a safer alternative is available)

Second line:

	Medicine	Adult dose	Frequency	Duration**
	norfloxacin po	400mg	3 times a day	7 day
or	nalidixic acid po	500mg	4 times a day	7 days
or	amoxicillin-clavulanic acid po	375mg	3 times a day	7 days

**Note: Duration for UTI in pregnancy longer than other general UTI.

Third line:

as per culture and sensitivity.