A 71-year-old man has a positive urine culture found during routine testing before cataract surgery. He has no urinary symptoms, fever or

Question

A 71-year-old man has a positive urine culture found during routine testing before cataract surgery. He has no urinary symptoms, fever or haemodynamic instability. What is the most appropriate antimicrobial decision?

Accepted Answer

Do not treat asymptomatic bacteriuria; routine urine screening was not indicated for this operation

Answer

Treat for seven days because any bacteriuria before surgery increases postoperative infection risk

Answer

Give a single antibiotic dose at induction despite the operation not entering the urinary tract

Answer

Repeat cultures until sterile and defer cataract surgery for at least four weeks

Answer

Treat only if pyuria is present because pyuria distinguishes infection from colonisation

ASB Pre-Urologic Procedure — Medical Practice MCQ

A 71-year-old man has a positive urine culture found during routine testing before cataract surgery. He has no urinary symptoms, fever or haemodynamic instability. What is the most appropriate antimicrobial decision?