Question

A 30-year-old woman with recurrent vaginitis is now asymptomatic but has a urine culture with 10⁵ CFU/mL E. coli on employment screening. She is not pregnant and has no urologic procedure planned. Management?

Accepted Answer

Do not treat and do not repeat cultures

Answer

Treat with nitrofurantoin 5 days

Answer

Treat only if repeat culture positive

Answer

Start TMP-SMX for 7 days

Answer

Start daily methenamine hippurate

Practice question

A 30-year-old woman with recurrent vaginitis is now asymptomatic but has a urine culture with 10⁵ CFU/mL E. coli on employment screening. She is not pregnant and has no urologic procedure planned. Management?