An 82-year-old woman in a nursing facility has bacteriuria on routine screening but no urinary symptoms or systemic signs. What is the best management...

Question

An 82-year-old woman in a nursing facility has bacteriuria on routine screening but no urinary symptoms or systemic signs. What is the best management?

Accepted Answer

Do not treat asymptomatic bacteriuria

Answer

Start nitrofurantoin for 5 days

Answer

Start TMP-SMX for 3 days

Answer

Replace the urinary catheter and start ceftriaxone

Answer

Order renal ultrasound and treat empirically

us-abfm MCQ (SBA): Asymptomatic Bacteriuria

An 82-year-old woman in a nursing facility has bacteriuria on routine screening but no urinary symptoms or systemic signs. What is the best management?