A 65-year-old woman in the community is found to have Escherichia coli bacteriuria on routine urine microscopy and culture done for nonspecific fatigu...

Question

A 65-year-old woman in the community is found to have Escherichia coli bacteriuria on routine urine microscopy and culture done for nonspecific fatigue. She has no urinary symptoms, is not pregnant and has no planned urological procedures. What is the most appropriate management of her bacteriuria?

Accepted Answer

No antibiotic treatment is required

Answer

Start trimethoprim 300 mg orally, nightly for 3 days

Answer

Start nitrofurantoin 100 mg orally, 6-hourly for 5 days

Answer

Start amoxycillin plus clavulanic acid 875+125 mg orally, 12-hourly for 7 days

Answer

Commence long-term low-dose antibiotic prophylaxis

au-amc MCQ (SBA): Asymptomatic bacteriuria

A 65-year-old woman in the community is found to have Escherichia coli bacteriuria on routine urine microscopy and culture done for nonspecific fatigue. She has no urinary symptoms, is not pregnant and has no planned urological procedures. What is the most appropriate management of her bacteriuria?