Question

A 72-year-old man scheduled for elective total hip arthroplasty has asymptomatic bacteriuria (10⁵ CFU/mL) on pre-op screening. No urinary symptoms. What is the best management?

Accepted Answer

Do not treat asymptomatic bacteriuria prior to nonurologic surgery

Answer

Treat with nitrofurantoin for 5 days

Answer

Treat with TMP-SMX for 3 days

Answer

Delay surgery and treat 7 days

Answer

Screen and treat only if pyuria is present

Practice question

A 72-year-old man scheduled for elective total hip arthroplasty has asymptomatic bacteriuria (10⁵ CFU/mL) on pre-op screening. No urinary symptoms. What is the best management?