What is the primary treatment for bacteriuria during pregnancy, even in asymptomatic cases?

The primary treatment for bacteriuria during pregnancy, even when the individual is asymptomatic, is the use of antibiotics. This is crucial because asymptomatic bacteriuria can lead to significant complications, including an increased risk of developing pyelonephritis (a severe kidney infection) and preterm birth. In pregnant women, proper management of bacteriuria is essential to maintain both maternal and fetal health.

Antibiotics are the most effective way to eliminate the bacteria and prevent these complications. The choice of antibiotic is typically guided by sensitivity patterns to ensure effectiveness and safety during pregnancy. The objective is not only to treat the existing bacteriuria but also to prevent its progression to a more severe infection, which can have serious consequences for both the mother and child.

Other options are not suitable as primary treatments for bacteriuria. Increased fluid intake may help flush out bacteria but does not treat the underlying infection. Bed rest may be recommended for other complications but is not an effective treatment for bacteriuria itself. Herbal remedies lack evidence of efficacy and safety in treating bacterial infections during pregnancy and are not recommended as a primary treatment. Thus, antibiotics remain the most valid and reliable approach to manage bacteriuria during pregnancy, even in the absence of symptoms.