A 77-year-old resident of a nursing home is found to have asymptomatic bacteriuria on a routine urine dipstick test performed by care staff. She has n...

Question

A 77-year-old resident of a nursing home is found to have asymptomatic bacteriuria on a routine urine dipstick test performed by care staff. She has no urinary symptoms, fever, or confusion. She has mild cognitive impairment but is at her baseline. What is the most appropriate management?

Accepted Answer

Reassurance and no antibiotic treatment

Answer

Treat with a 3-day course of Trimethoprim

Answer

Treat with a 7-day course of Nitrofurantoin

Answer

Send urine for culture and treat based on sensitivities

Answer

Increase fluid intake and repeat dipstick in 1 week

ukmla MCQ (SBA): Asymptomatic Bacteriuria

A 77-year-old resident of a nursing home is found to have asymptomatic bacteriuria on a routine urine dipstick test performed by care staff. She has no urinary symptoms, fever, or confusion. She has mild cognitive impairment but is at her baseline. What is the most appropriate management?