What is your approach to recurrent asymptomatic bacteriuria in pregnancy for patients without personal history of recurrent UTIs or pyelonephritis?  

There is a paucity of good data in this field. In my opinion: The data remain weak (after 70 years of study) that we should be screening for ASB in pregnancy in the first place (whether or not they have a history of recurrent UTI or pyelonephritis). However, guidelines generally agree that screen...

I recommend checking routine screens and treating accordingly if the screens are sporadically positive. However, if urine cultures are persistently positive, recommend keeping patient on a low dose chronic suppressive antibiotic for the entire pregnancy (as pregnancy is one of the 2 times (the other...