Question 274 · LEK · Urinary tract infections
A 45-year-old female with type 2 diabetes visited her family doctor to obtain prescriptions to continue her anti-hypertensive therapy. Occasionally performed urinalysis showed leucocytes, 20-30 per high power field and numerous bacteria. Which of the following should be advised?
- A. urine culture.
- B. empirical therapy with antibiotic for 3-5 days.
- C. bactericide for 3 days.
- D. disregarding the test result - the patient needs no treatment.
- E. imaging diagnostics of the urinary tract.
Hint
The patient has no urinary symptoms; consider whether asymptomatic bacteriuria in diabetes warrants any intervention.
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