Question

A cognitively intact 82-year-old woman in clinic has a urine culture sent by a caregiver that shows >100,000 CFU/mL E. coli. She has no dysuria, frequency, urgency, suprapubic pain, or fever. What is the best management?

Accepted Answer

Do not treat asymptomatic bacteriuria

Answer

Treat with nitrofurantoin for 5 days

Answer

Treat with trimethoprim-sulfamethoxazole for 3 days

Answer

Repeat culture and treat if persistent

Answer

Order CT abdomen/pelvis to rule out stones

Practice question

A cognitively intact 82-year-old woman in clinic has a urine culture sent by a caregiver that shows >100,000 CFU/mL E. coli. She has no dysuria, frequency, urgency, suprapubic pain, or fever. What is the best management?