Question

An 86-year-old in a nursing facility has bacteriuria on screening urinalysis but no urinary symptoms and normal vitals. What is the best management?

Accepted Answer

No antibiotics; do not screen or treat asymptomatic bacteriuria (outside pregnancy/urologic procedures)

Answer

Treat with nitrofurantoin 5 days

Answer

Start TMP-SMX for 3 days

Answer

Obtain a CT scan of the abdomen and pelvis

Answer

Begin ciprofloxacin for 7 days

Practice question

An 86-year-old in a nursing facility has bacteriuria on screening urinalysis but no urinary symptoms and normal vitals. What is the best management?