Question

A 68-year-old nursing home resident with dementia is noted to be more confused. He is afebrile and has no urinary symptoms. Urinalysis shows bacteriuria and leucocytes. According to Choosing Wisely Canada and CFPC recommendations, what is the best approach?

Accepted Answer

Do not send urine or treat unless there are clear urinary or systemic symptoms

Answer

Start antibiotics for presumed urinary tract infection

Answer

Repeat urine tests weekly

Answer

Treat only if urine culture shows >100 000 CFU/mL

Answer

Begin prophylactic antibiotics to prevent future infections

Practice question

A 68-year-old nursing home resident with dementia is noted to be more confused. He is afebrile and has no urinary symptoms. Urinalysis shows bacteriuria and leucocytes. According to Choosing Wisely Canada and CFPC recommendations, what is the best approach?