A 82-year-year-old with new delirium, cloudy urine and positive nitrites. Afebrile, BP stable. Lives in care home. What is the appropriate approach to...

Question

A 82-year-year-old with new delirium, cloudy urine and positive nitrites. Afebrile, BP stable. Lives in care home. What is the appropriate approach to antibiotics?

Accepted Answer

Send urine culture and start antibiotics only if systemic features or localising urinary symptoms develop

Answer

Start antibiotics immediately for UTI

Answer

No action required

Answer

Start broad-spectrum IV antibiotics

Answer

Start prophylactic antibiotics

ukmla MCQ (SBA): Asymptomatic bacteriuria in older adult

A 82-year-year-old with new delirium, cloudy urine and positive nitrites. Afebrile, BP stable. Lives in care home. What is the appropriate approach to antibiotics?