14. Bacteriuria in pregnancy
Incidence - 2 to 7%
Spontaneous resolution - unlikely
Incidence of pyelonephritis upto 40%
Smooth muscle atony
Ureteric obstruction
Increased GFR
Penicillin, cephalosporin, Nitrofurantoin
15. DUS
Elderly female patient
Obstructive symptoms - occasional
Predominantly irritative symptoms
Dilatation & cystoscopy evaluation
Common but missed often
16. Take home
Incidence of UTI is slightly higher in female
Genotype may decide recurrent UTI
Imaging is not always required
Culture negative symptomatic patients should be
managed prudently
Appropriate antibiotic and duration
Decision making is the key in surgical management
Asymptomatic bacteriuria in pregnancy should be
treated