A 79-year-old long-term care resident has cloudy urine and bacteriuria but no urinary symptoms or systemic signs. What is the best course?...

Question

A 79-year-old long-term care resident has cloudy urine and bacteriuria but no urinary symptoms or systemic signs. What is the best course?

Accepted Answer

Do not screen or treat for asymptomatic bacteriuria

Answer

Treat with trimethoprim-sulfamethoxazole for 3 days

Answer

Treat if pyuria is present

Answer

Obtain CT urogram, then tailor therapy

Answer

Begin IV ceftriaxone while cultures pending

us-abfm MCQ (SBA): Asymptomatic Bacteriuria