05-17-2007, 03:21 AM
A healthy 75-year-old female brings the results of a urinalysis and subsequent culture obtained prior to scheduled cataract surgery. The urinalysis reveals 1-2 WBCs, 0-1 RBCs, a few epithelial cells, and 4+ bacteria. The culture shows >100,000 Escherichia coli. She denies urinary symptoms. Her only medication is hydrochlorothiazide (HydroDIURIL), which has controlled her blood pressure.
Which one of the following should you do?
Refer her to a urologist for evaluation
Order measurement of post-void residual volume and 7 days of trimethoprim/sulfamethoxazole (Bactrim, Septra)
Prescribe a 10-day course of amoxicillin
Inform her that treatment is not necessary
Which one of the following should you do?
Refer her to a urologist for evaluation
Order measurement of post-void residual volume and 7 days of trimethoprim/sulfamethoxazole (Bactrim, Septra)
Prescribe a 10-day course of amoxicillin
Inform her that treatment is not necessary