A 72-year-old nursing home resident with an indwelling catheter has pyuria and bacteriuria (100,000 CFU/mL E. coli) on routine screening but no urinar...

Question

A 72-year-old nursing home resident with an indwelling catheter has pyuria and bacteriuria (100,000 CFU/mL E. coli) on routine screening but no urinary symptoms. What is the best next step?

Accepted Answer

Do not treat; no antibiotics indicated

Answer

Obtain renal ultrasound and treat with TMP-SMX

Answer

Start nitrofurantoin 100 mg twice daily for 5 days

Answer

Start amoxicillin-clavulanate 875/125 mg twice daily for 7 days

Answer

Replace catheter and start ciprofloxacin 500 mg twice daily

asymptomatic bacteriuria MCQ (SBA): Asymptomatic Bacteriuria

A 72-year-old nursing home resident with an indwelling catheter has pyuria and bacteriuria (100,000 CFU/mL E. coli) on routine screening but no urinary symptoms. What is the best next step?