Question

A 45-year-old with dysuria and positive urine culture (E. coli 10⁵ CFU/mL) has no urinary symptoms now after initial evaluation for non-urinary complaints. She is not pregnant and has no planned urologic procedures. Best management?

Accepted Answer

No antibiotics-avoid treatment

Answer

Treat with nitrofurantoin for 5 days

Answer

Treat with TMP-SMX for 3 days

Answer

Treat with ciprofloxacin for 3 days

Answer

Repeat culture then treat if persistent

Practice question

A 45-year-old with dysuria and positive urine culture (E. coli 10⁵ CFU/mL) has no urinary symptoms now after initial evaluation for non-urinary complaints. She is not pregnant and has no planned urologic procedures. Best management?