امرأة عمرها ٣٨ سنة حامل في الأسبوع ١٦، عندها ألم وحرقة في البول، وحرارة ٣٧٫٩. المزرعة إيجابية. تقول إنها لا تريد أدوية في الحمل. ما الرد الصحيح؟

A 38-year-old at 16 weeks has dysuria and T 37.9 °C with a positive urine culture. She says she does not want medicines in pregnancy. What is the correct response?

1. Urinary infection does not need treatment in pregnancy
2. Wait until after delivery, then treat
3. Treatment prevents pyelonephritis and preterm birth
4. Cranberry juice is enough instead of treatment

Answer: C) Treatment prevents pyelonephritis and preterm birth. UTI in pregnancy (even asymptomatic bacteriuria) is treated with a safe antibiotic because it can progress to pyelonephritis and preterm labour.