Question

An 82-year-old woman in a nursing home has bacteriuria (≥10^5 CFU/mL E. coli) on routine testing but is afebrile without urinary symptoms and is undergoing cataract surgery next week. What is the best management?

Accepted Answer

No antibiotics; do not screen/treat asymptomatic bacteriuria

Answer

Treat with nitrofurantoin for 5 days

Answer

Treat with TMP-SMX for 3 days

Answer

Treat with amoxicillin-clavulanate for 5 days

Answer

Treat only if leukocytosis develops

Practice question

An 82-year-old woman in a nursing home has bacteriuria (≥10^5 CFU/mL E. coli) on routine testing but is afebrile without urinary symptoms and is undergoing cataract surgery next week. What is the best management?