An asymptomatic 82-year-old in a nursing facility has a urine culture with 100,000 CFU/mL E. coli. No fever, dysuria, or flank pain. What is the best...

Question

An asymptomatic 82-year-old in a nursing facility has a urine culture with >100,000 CFU/mL E. coli. No fever, dysuria, or flank pain. What is the best management?

Accepted Answer

Do not treat; no antibiotics indicated

Answer

Start ciprofloxacin for 7 days

Answer

Start nitrofurantoin for 5 days

Answer

Hydrate and give phenazopyridine

Answer

Start TMP-SMX for 3 days

us-abfm MCQ (SBA): Asymptomatic Bacteriuria

An asymptomatic 82-year-old in a nursing facility has a urine culture with >100,000 CFU/mL E. coli. No fever, dysuria, or flank pain. What is the best management?