An 80-year-old nursing-home resident with dementia has bacteriuria on routine screening; she is afebrile without urinary symptoms. What is the best ma...

Question

An 80-year-old nursing-home resident with dementia has bacteriuria on routine screening; she is afebrile without urinary symptoms. What is the best management?

Accepted Answer

No antibiotics; do not screen or treat asymptomatic bacteriuria in this population

Answer

Start TMP-SMX for 7 days

Answer

Start nitrofurantoin for 5 days

Answer

Repeat urine culture and treat if persistent

Answer

Start amoxicillin-clavulanate for 7 days

us-abfm MCQ (SBA): Asymptomatic Bacteriuria

An 80-year-old nursing-home resident with dementia has bacteriuria on routine screening; she is afebrile without urinary symptoms. What is the best management?