Picking The Right Antibiotic: Acute Cystitis During Pregnancy

OVERVIEW

This page is dedicated to providing a practical guide to how one should pick the correct antibiotic(s) to use in the setting of acute cystitis during pregnancy.

WHAT IS ACUTE CYSTITIS DURING PREGNANCY?

We use the following features to try and define what exactly this condition is:

  • Pregnant patient: this is of course in the setting of pregnancy
  • Positive cultures: > 100,000 colonies/mL
  • Symptomatic patient: patient has symptoms of infection (dysuria, urgency, etc)
WHAT ARE OUR ANTIBIOTIC OPTIONS?

The following are all different choices for antibiotics:

  • Nitrofurantoin: 5-7 days
  • Amoxicillin or amoxicillin-caluvulanate: 3-7 days
  • Fosftomycin: singe dose
WHAT SHOULD BE AVOIDED?

The following antibiotics should be avoided: