שאלה משלב א׳ בכירורגיה אורולוגית · מועד 2025, שאלה 112

Correct: C — a young healthy woman before TURBT. Asymptomatic bacteriuria is treated in only two generally accepted situations: pregnancy, and before a urological procedure in which mucosal bleeding is anticipated — TURBT being the paradigm — because instrumentation of infected urine causes bacteraemia and sepsis. It is explicitly *not* treated in the elderly, in diabetes, in patients with a neurogenic bladder on intermittent catheterisation, or in the presence of pyuria without symptoms, so options A, B and D all describe situations in which treatment causes resistance and Clostridioides difficile infection without benefit.

מקור: Campbell-Walsh p. 1148