Question

A 58-year-old woman with dysuria and bacteriuria (10^5 CFU/mL) on pre-op testing for knee arthroplasty is asymptomatic. Pregnancy test negative. What is the best approach?

Accepted Answer

Do not treat asymptomatic bacteriuria

Answer

Treat with nitrofurantoin 5 days

Answer

Treat only if leukocytosis develops

Answer

Begin IV ceftriaxone pre-op

Answer

Start fosfomycin 3 g once

Practice question

A 58-year-old woman with dysuria and bacteriuria (10^5 CFU/mL) on pre-op testing for knee arthroplasty is asymptomatic. Pregnancy test negative. What is the best approach?