An 82-year-old nursing-home resident with bacteriuria on screening, no urinary symptoms, and delirium related to dehydration is started on antibiotics...

Question

An 82-year-old nursing-home resident with bacteriuria on screening, no urinary symptoms, and delirium related to dehydration is started on antibiotics. What is the guideline-concordant approach?

Accepted Answer

Stop antibiotics; do not treat asymptomatic bacteriuria

Answer

Continue antibiotics because bacteriuria is present

Answer

Treat with 3 days of TMP-SMX to prevent urosepsis

Answer

Start fosfomycin single dose to clear bacteriuria

Answer

Treat only if fever develops, regardless of symptoms

us-abfm MCQ (SBA): Asymptomatic Bacteriuria

An 82-year-old nursing-home resident with bacteriuria on screening, no urinary symptoms, and delirium related to dehydration is started on antibiotics. What is the guideline-concordant approach?