A 70-year-old nursing home resident presents with confusion, fever, and new urinary incontinence. Urinalysis shows > 100,000 CFU/mL of E. coli. What is the appropriate management?
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A
Treat with antibiotics immediately given symptomatic bacteriuria
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B
Observe without treatment as bacteriuria in elderly is common
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C
Start antibiotics only if blood cultures are positive
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D
Repeat urinalysis in 48 hours before deciding