Urinary Tract Infection Practice Test

Question #5 explained:

GH is a 21 year-old female who recently visited her primary care doctor for an annual checkup. She gave a urine sample at the visit and it has come back positive for Enterococcus faecium that is resistant to both ampicillin and vancomycin, making it a vancomycin-resistant Enterococci (VRE). She reports no fever, chills, dysuria, frequency, urgency flank pain or other symptom. She has no significant past medical history and is not pregnant. Which of the following best describes this situation?

A. Cystitis, give linezolid

• • • While linezolid can be used to treat VRE UTI, this patient does not require antibiotics so this is incorrect. 

B. Lower urinary tract infection, give fosfomycin

• • • While fosftomycin can be used to treat VRE UTI, this patient does not require antibiotics so this is incorrect. 

C. Asymptomatic bacteriuria, do not give antibiotics CORRECT

• • • This patient dos not have an infection and is not in a special patient population (e.g., recent kidney transplant, pregnancy) in whom treatment for asymptomatic bacteriuria (ASB) may be warranted. The specific definitions for ASB are reviewed in a later question.

D. Unknown infection, send patient to emergency room

• • • This patient does not have an infection and there is no need for additional care.

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