Question

An 82-year-old nursing home resident with baseline dementia is afebrile and asymptomatic but has bacteriuria on routine testing and a positive urine culture. Best management?

Accepted Answer

Do not treat asymptomatic bacteriuria; avoid routine screening

Answer

Treat with TMP-SMX for 7 days

Answer

Treat only if nitrites are positive

Answer

Give a single dose of fosfomycin

Answer

Start prophylactic nightly nitrofurantoin

Practice question

An 82-year-old nursing home resident with baseline dementia is afebrile and asymptomatic but has bacteriuria on routine testing and a positive urine culture. Best management?