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  1. occurs more frequently in pregnancy and puerperium (time immediately after the delivery of a baby)
  2. most common medical complication of pregnancy  due to increased urinary stasis from mechanical and hormonal (progesterone) factors 
  3. organisms : same as non-pregnant woman, also GBS 
  4. may be symptomatic or asymptomatic; treat all 
  5. risk of acute cystitis, pyelonephritis, and possible PPROM (Preterm Premature Rupture of Membranes)
  6. recurrence common  treatment of pyelonephritis during pregnancy requires hospitalization and IV antibiotics
  7. treatment of asymptomatic bacteruria or acute cystitis

    • amoxicillin first line
    • alternatives are TMP-SMX (Septra) or nitrofurantoin (avoid during last 6 weeks of pregnancy)
    • follow with monthly urine cultures

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URINARY TRACT INFECTION URINARY TRACT INFECTION Reviewed by Radiology Madeeasy on January 10, 2011 Rating: 5
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