AKT-4057

AKT-4057

A 29-year-old pregnant woman attended her booking appointment with the midwife last week. She has no other medical conditions. This is her first pregnancy and she is 10-weeks pregnant.

During the booking appointment, the midwife sent a mid-stream urine sample to screen for asymptomatic bacteriuria. The patient denied experiencing any urinary symptoms. The culture results showed that she is positive for Escherichia Coli, which is sensitive to nitrofurantoin and trimethoprim. A repeat sample confirmed the findings.

Based on the current NICE CKS guidance, what is the next appropriate step in managing this patient?