Question

A 75-year-old woman with diabetes is incidentally found to have >=10^5 CFU/mL bacteriuria on screening but has no urinary symptoms. Next step?

Accepted Answer

Do not treat or rescreen; avoid antibiotics

Answer

Treat with nitrofurantoin 100 mg twice daily for 5 days

Answer

Treat with TMP-SMX DS twice daily for 3 days

Answer

Repeat culture and treat only if >10^6 CFU/mL

Answer

Treat with single-dose fosfomycin

Practice question

A 75-year-old woman with diabetes is incidentally found to have >=10^5 CFU/mL bacteriuria on screening but has no urinary symptoms. Next step?