Question

A 60-year-old with 2 weeks of dysuria without symptoms today is incidentally found to have bacteriuria on screening UA before orthopedic surgery without hardware implantation. Best action?

Accepted Answer

Do not screen or treat asymptomatic bacteriuria in this setting

Answer

Treat 3 days with TMP-SMX

Answer

Treat 7 days with nitrofurantoin

Answer

Start prophylactic fluoroquinolone

Answer

Delay surgery until cultures clear

Practice question

A 60-year-old with 2 weeks of dysuria without symptoms today is incidentally found to have bacteriuria on screening UA before orthopedic surgery without hardware implantation. Best action?