Question

A 65-year-old woman in a nursing home has bacteriuria on routine screening: urine culture >100,000 CFU/mL Escherichia coli, no urinary symptoms, afebrile. What is the best management?

Accepted Answer

No antibiotics; do not treat asymptomatic bacteriuria

Answer

Treat with nitrofurantoin for 5 days

Answer

Treat with trimethoprim-sulfamethoxazole for 3 days

Answer

Treat with ciprofloxacin for 3 days

Answer

Start prophylactic antibiotics to prevent UTI

Practice question

A 65-year-old woman in a nursing home has bacteriuria on routine screening: urine culture >100,000 CFU/mL Escherichia coli, no urinary symptoms, afebrile. What is the best management?