Question

A 79-year-old woman with a chronic Foley catheter has bacteriuria (>100,000 CFU/mL) on routine culture but no urinary symptoms. What is the best management?

Accepted Answer

Start suppressive antibiotics

Answer

Treat with 3 days of TMP-SMX

Answer

Treat with 7 days of nitrofurantoin

Answer

Replace the catheter and give ceftriaxone

Answer

No antibiotics; no screening/treatment indicated

Practice question

A 79-year-old woman with a chronic Foley catheter has bacteriuria (>100,000 CFU/mL) on routine culture but no urinary symptoms. What is the best management?