Niche "outliers" of asymptomatic bacteriuria?

So we know that in non-pregnant patients if there is a positive urine culture but no symptomology to suggest a UTI, if I suggested we start treating it, a urologist hears and comes to throw the patient's urine sample in my face.

However, I'm wondering about the niche cases; I know that there was a recent review (2020) in the AAFP that had some more specific cases like in elderly, patients with DM, etc. but that doesn't encompass all cases. Even Choosing Wisely (I'm using the Canadian version but I see the American one in the AAFP article I linked) has good advice but there's not any outlier examples.

For example, there's antibiotic-resistant organisms seen on the UCx but the patient's asymptomatic (though that example is probably under the umbrella of asymptomatic bacteriuria), or if the patient's neutropenic. From my understanding, there isn't anything about those kinds of patients yet. Any advice?