Question

A 65-year-old woman scheduled for hip arthroplasty has asymptomatic bacteriuria (100,000 CFU/mL E. coli) on pre-op urine culture. She is afebrile and asymptomatic. What is the best management?

Accepted Answer

Do not treat

Answer

Start nitrofurantoin for 5 days

Answer

Start TMP-SMX for 3 days

Answer

Start cefpodoxime for 5 days

Answer

Treat only if repeat culture confirms persistence

Practice question

A 65-year-old woman scheduled for hip arthroplasty has asymptomatic bacteriuria (100,000 CFU/mL E. coli) on pre-op urine culture. She is afebrile and asymptomatic. What is the best management?