Question

A 78-year-old woman with diabetes has bacteriuria on routine screening but no urinary symptoms. What is the best management?

Accepted Answer

Do not treat; no antibiotics indicated.

Answer

Treat with nitrofurantoin for 5 days.

Answer

Treat with TMP-SMX for 3 days.

Answer

Treat only if urine culture exceeds 10^5 CFU/mL of E. coli.

Answer

Begin prophylactic antibiotics for 6 months.

Practice question

A 78-year-old woman with diabetes has bacteriuria on routine screening but no urinary symptoms. What is the best management?