A 60-year-old with suspected bacterial UTI but no symptoms has a positive urine culture during preoperative evaluation for elective knee arthroplasty....

Question

A 60-year-old with suspected bacterial UTI but no symptoms has a positive urine culture during preoperative evaluation for elective knee arthroplasty. Best step?

Accepted Answer

No antibiotics-treat only if undergoing invasive urologic procedure

Answer

Treat asymptomatic bacteriuria before surgery

Answer

Start 3 days of TMP-SMX

Answer

Start nitrofurantoin for 7 days

Answer

Repeat culture and treat if persistent

us-abfm MCQ (SBA): Asymptomatic Bacteriuria

A 60-year-old with suspected bacterial UTI but no symptoms has a positive urine culture during preoperative evaluation for elective knee arthroplasty. Best step?