33 hours ago A. Order urine culture and begin antibiotics The positive findings with the patient complaints are consistent with a UTI. Empiric antibiotic therapy should be initiated and a urine culture should be ordered. Pregnant females are at high risk of developing pyelonephritis if a UTI is left untreated or undertreated. >> Go To The Portal
Given the following urinalysis results, select the most appropriate course of action: pH - 8.0; protein = tr; glucose = Neg; ketone = Sm; blood = Neg; nitrite = Neg; 0-2 RBCs/HPF; 20-50 WBCs/HPF; bacteria = Lg; CaCO3 crystals = Sm
SITUATION: A 6-mL pediatric urine sample is processed for routine urinalysis in the usual manner. The sediment is prepared by centrifuging all the urine remaining after performing the biochemical tests. The following results are obtained:
The NP suggests that a pregnant patient may have been physically abused by a domestic partner. The NP knows that: A. Abuse often ends in homicide by the abuser
A urine specimen is tested and shown to have a pH of 8.0. This value is: Normal In the microscopic observation of urine sediment, yeast most resembles: Red blood cells A CLIA-waived urine pregnancy test result can detect hCG as early as: 1 week after implantation, or 4 to 5 days before a missed menstrual period
Why is a urine analysis important during pregnancy? A urine test is used to assess bladder or kidney infections, diabetes, dehydration, and Preeclampsia by screening for high levels of sugars, proteins, ketones, and bacteria.
Antibiotic Choices for Treatment of UTIs During PregnancyAntibioticPregnancy categoryDosageCephalexin (Keflex)B250 mg two or four times dailyErythromycinB250 to 500 mg four times dailyNitrofurantoin (Macrodantin)B50 to 100 mg four times dailySulfisoxazole (Gantrisin)C*1 g four times daily3 more rows•Feb 1, 2000
Table IIAsymptomatic bacteriuriaFirst line treatmentAmoxicillin 500 mg every 8–12 h – for 3–7 daysCephalexin 500 mg every 12/6 h – for 3–7 daysFDA cat. BAmoxicillin/clavulanic acid 500 mg every 12 h – for 3–7 daysNitrofurantoin 100 mg every 12 h – for 5–7 days*4 more rows
Urine culture and sensitivity is the gold standard in diagnosing UTIs. Without treatment, asymptomatic bacteriuria in pregnancy is associated with preterm delivery, intrauterine growth retardation, low birth weight, maternal hypertension, pre-eclampsia and anaemia. Acute pyelonephritis can lead to maternal sepsis.
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.
You can treat a UTI while pregnant without antibiotics by staying hydrated, drinking cranberry juice, and consuming ascorbic acid.
UTIs are diagnosed by taking a urine sample which is checked in a laboratory for bacteria. Your doctor may also perform a physical examination if they think you have an infection. All pregnant women are offered a urine test, usually at their first antenatal visit or soon after.
Pregnant women should be screened early in their pregnancies, between the 12th and 16th weeks. The doctor will have you provide a midstream clean-catch urine sample. This sample will then be sent to a lab to be cultured. This sample can help your doctor identify the type and number of bacteria present.
Asymptomatic bacteriuria is a bacterial infection of the urine without any of the typical symptoms that are associated with a urinary infection, and occurs in 2% to 15% of pregnancies. If left untreated, up to 30% of mothers will develop acute pyelonephritis.