A 76-year-old nursing home resident has bacteriuria (10⁵ CFU/mL E. coli) but no urinary symptoms. Not pregnant; no urologic procedures planned. Best m...

Question

A 76-year-old nursing home resident has bacteriuria (10⁵ CFU/mL E. coli) but no urinary symptoms. Not pregnant; no urologic procedures planned. Best management?

Accepted Answer

No antibiotics; observe

Answer

Treat with TMP-SMX for 3 days

Answer

Treat with nitrofurantoin for 5 days

Answer

Start fosfomycin single dose

Answer

Begin suppressive antibiotics

us-abfm MCQ (SBA): Asymptomatic Bacteriuria

A 76-year-old nursing home resident has bacteriuria (10⁵ CFU/mL E. coli) but no urinary symptoms. Not pregnant; no urologic procedures planned. Best management?