A 38-year-old non-pregnant woman with no urologic abnormalities reports foul-smelling urine detected on workplace screening. She has no dysuria, frequ...

Question

A 38-year-old non-pregnant woman with no urologic abnormalities reports foul-smelling urine detected on workplace screening. She has no dysuria, frequency, fever or flank pain. Urine culture done by occupational health shows 10⁵ CFU/mL E. coli. According to Canadian and international guidance, what is the most appropriate management?

Accepted Answer

Reassure and do not treat with antibiotics

Answer

Start empiric antibiotics for 7 days

Answer

Repeat urine culture immediately and treat if still positive

Answer

Order renal ultrasound and cystoscopy

Answer

Start long-term prophylactic antibiotics

ca-mccqe1 MCQ (SBA): Asymptomatic bacteriuria in non-pregnant adult