A 30-year-old man with dysuria and pyuria has enterococcal bacteriuria on culture but no urinary symptoms now; he was screened pre-op for cataract sur...

Question

A 30-year-old man with dysuria and pyuria has enterococcal bacteriuria on culture but no urinary symptoms now; he was screened pre-op for cataract surgery. He is afebrile without GU instrumentation planned. What is recommended?

Accepted Answer

No antibiotics indicated for asymptomatic bacteriuria in this setting

Answer

Treat with nitrofurantoin for 5 days

Answer

Treat only if leukocyte esterase is positive

Answer

Start fluoroquinolone for presumed prostatitis

Answer

Obtain renal ultrasound and treat if abnormal

us-abfm MCQ (SBA): Asymptomatic Bacteriuria

A 30-year-old man with dysuria and pyuria has enterococcal bacteriuria on culture but no urinary symptoms now; he was screened pre-op for cataract surgery. He is afebrile without GU instrumentation planned. What is recommended?