A 76-year-old man in a nursing facility has cloudy urine and a positive culture but no urinary symptoms or systemic signs. What is the best management...

Question

A 76-year-old man in a nursing facility has cloudy urine and a positive culture but no urinary symptoms or systemic signs. What is the best management?

Accepted Answer

No antibiotics; do not screen/treat asymptomatic bacteriuria

Answer

Treat with 7 days of antibiotics

Answer

Repeat culture and treat if persistent

Answer

Treat only if nitrites positive

Answer

Start prophylactic daily nitrofurantoin

us-abfm MCQ (SBA): Asymptomatic Bacteriuria (Older Adult)

A 76-year-old man in a nursing facility has cloudy urine and a positive culture but no urinary symptoms or systemic signs. What is the best management?