Question

A 74-year-old nursing home resident with positive urine culture but no urinary symptoms is screened during routine labs. Best management?

Accepted Answer

No antibiotics; do not screen/treat asymptomatic bacteriuria in this population

Answer

Treat with nitrofurantoin for 5 days

Answer

Treat with TMP-SMX for 3 days

Answer

Repeat culture weekly for a month

Answer

Start fluoroquinolone for 7 days

Practice question

A 74-year-old nursing home resident with positive urine culture but no urinary symptoms is screened during routine labs. Best management?