A 76-year-old man in a long-term care facility has a positive urine culture for E. coli after routine screening. He has no urinary symptoms, no fever ...

Question

A 76-year-old man in a long-term care facility has a positive urine culture for E. coli after routine screening. He has no urinary symptoms, no fever and no systemic signs. According to Choosing Wisely Canada and infectious disease guidance, what is the best management?

Accepted Answer

No antibiotic therapy is indicated

Answer

Treat with antibiotics for 7 days

Answer

Treat only if leukocytosis is present

Answer

Repeat urine culture until negative

Answer

Start prophylactic antibiotics for 3 months

ca-mccqe1 MCQ (SBA): Asymptomatic bacteriuria in elderly

A 76-year-old man in a long-term care facility has a positive urine culture for E. coli after routine screening. He has no urinary symptoms, no fever and no systemic signs. According to Choosing Wisely Canada and infectious disease guidance, what is the best management?