Question

An 82-year-old woman living in a long-term care home is confused. She has no dysuria, frequency, suprapubic pain, flank pain, or fever. A urine sample sent by staff shows pyuria and significant bacteriuria. According to Canadian recommendations, what is the most appropriate management?

Accepted Answer

Do not treat with antibiotics; assess for other causes of confusion and monitor

Answer

Start broad-spectrum oral antibiotics for 7 days

Answer

Repeat urine culture in 3 days and treat if still positive

Answer

Treat with a single dose of fosfomycin

Answer

Start prophylactic antibiotics to prevent symptomatic UTI

Practice question

An 82-year-old woman living in a long-term care home is confused. She has no dysuria, frequency, suprapubic pain, flank pain, or fever. A urine sample sent by staff shows pyuria and significant bacteriuria. According to Canadian recommendations, what is the most appropriate management?