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Asymptomatic Bacteriuria — Medical Practice MCQ

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EasyInfectious DiseasesAsymptomatic 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?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — No antibiotics; observe

Explanation lettering: B = shown as A · D = shown as B · E = shown as C · A = shown as D · C = shown as E

Asymptomatic bacteriuria should not be treated except in pregnancy or before invasive urologic procedures. Empiric treatments (A, B, D) are unnecessary; suppressive antibiotics (E) are not indicated.

Reference: IDSA Guideline (2019): Asymptomatic Bacteriuria