Urinary tract infection: treatment during pregnancy

Paula Russell, Principal Pharmacist, Regional Drug and Therapeutics Centre (Newcastle Upon Tyne)Published

Signposting evidence-based information on the treatment of urinary tract infection in pregnancy

Condition management

It is important to complete an individual risk assessment for your patient and to apply the principles of prescribing during pregnancy when looking at the available information and making treatment decisions. Check to see if a risk assessment has already been completed.

Untreated or inadequately treated urinary tract infection can have adverse effects on the mother and therefore on the foetus.

NICE CKS guidance on lower urinary tract infection (UTI) in women provides guidance on suspected urinary tract infection without visible haematuria during pregnancy and asymptomatic bacteriuria in pregnancy.

You should check if there is local guidance for you to use in your area.

Pregnancy outcome information

UK Teratology Information Service (UKTIS) provides detailed information on pregnancy outcomes for cephalosporins, nitrofurantoin, trimethoprim, amoxicillin  ciprofloxacin, pivmecillinam and quinolones.

Patient information

Each of the UKTIS summaries has corresponding Best Use of Medicine in Pregnancy (BUMPS) patient information.

The NHS website has information on UTI and cystitis, but not specifically in pregnancy.

More from safety in pregnancy

All our training and guidance to help decision making about the use of medicines in pregnancy