Question

A 67-year-old man with fever and dysuria is asymptomatic today while pre-op for cataract surgery; urine culture from pre-op screening shows E. coli 10^5 CFU/mL. He is not pregnant and has no upcoming urologic mucosal bleeding procedure. Management?

Accepted Answer

Do not treat asymptomatic bacteriuria

Answer

Treat with nitrofurantoin 5 days

Answer

Treat with TMP-SMX 3 days

Answer

Treat with fluoroquinolone 5 days

Answer

Repeat cultures monthly and treat if persistent

Practice question

A 67-year-old man with fever and dysuria is asymptomatic today while pre-op for cataract surgery; urine culture from pre-op screening shows E. coli 10^5 CFU/mL. He is not pregnant and has no upcoming urologic mucosal bleeding procedure. Management?