Question

A 33-year-old presents with dysuria and a positive urine culture (E. coli 10⁵ CFU/mL) but denies urinary symptoms and is not pregnant. What is the best management?

Accepted Answer

No antibiotics indicated

Answer

Treat with nitrofurantoin for 5 days

Answer

Treat with TMP-SMX for 3 days

Answer

Repeat urine culture in 3 days and treat if persistent

Answer

Start suppressive antibiotics for 3 months

Practice question

A 33-year-old presents with dysuria and a positive urine culture (E. coli 10⁵ CFU/mL) but denies urinary symptoms and is not pregnant. What is the best management?