Question

A 45-year-old woman has dysuria and positive urine culture but denies urinary symptoms. She is not pregnant and has no planned urologic procedures. Best management?

Accepted Answer

No antibiotics; do not screen or treat asymptomatic bacteriuria

Answer

Treat with nitrofurantoin 5 days

Answer

Treat with TMP-SMX 3 days

Answer

Treat with fosfomycin single dose

Answer

Order renal ultrasound and treat based on result

Practice question

A 45-year-old woman has dysuria and positive urine culture but denies urinary symptoms. She is not pregnant and has no planned urologic procedures. Best management?