Asymptomatic bacteriuria occurs when bacteria is present in a voided urine sample. A urinary tract infection UTI causes symptoms such as frequent urination , painful urination, or pelvic pain. The condition simply refers to the detection of a high number of bacteria in a urine sample. It can lead to a symptomatic upper UTI namely, pyelonephritis.

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Asymptomatic bacteriuria is frequently detected in women aged up to 60 years, patients with diabetes and elderly patients. The benefit of antibiotic treatment for this condition is controversial. The objective of this Cochrane systematic review was to assess the effectiveness and safety of antibiotic treatment for asymptomatic bacteriuria in adults.

A systematic review of the literature up to 24 February was performed using the Cochrane Renal Group's Specialised Register. Randomised controlled trials RCTs and quasirandomised controlled trials comparing antibiotics to placebo or no treatment for asymptomatic bacteriuria in adults were included. The outcomes of interest were the development of symptomatic urinary tract infection, complications, death, adverse events, development of antibiotic resistance, bacteriological cure, and decline in kidney function.

Nine studies participants were included in this review. The incidence of symptomatic urinary tract infection, complications or death was similar between groups. Antibiotic use was significantly associated with bacteriological cure and an increase in minor adverse events. No decline in kidney function was observed with any one of the treatments.

According to the results of the studies included in this revision, authors have concluded that there is no clinical benefit in treating asymptomatic bacteriuria in adults. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features!

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Send even when there aren't any new results. Optional text in email:. Save Cancel. Create a file for external citation management software Create file Cancel. Full-text links Cite Favorites. Abstract in English , Portuguese. Similar articles Antibiotics for asymptomatic bacteriuria. Zalmanovici Trestioreanu A, et al. Cochrane Database Syst Rev. Online ahead of print. PMID: Antibiotics for treating lower urinary tract infection in children.

Fitzgerald A, et al. PMID: Review. Different antibiotic regimens for treating asymptomatic bacteriuria in pregnancy. Guinto VT, et al. Duration of treatment for asymptomatic bacteriuria during pregnancy. Widmer M, et al. PMID: Updated.

Urethral indwelling or intermittent or suprapubic routes for short-term catheterisation in hospitalised adults. Kidd EA, et al. Show more similar articles See all similar articles. Publication types Systematic Review Actions. Humans Actions. Randomized Controlled Trials as Topic Actions. Treatment Outcome Actions. Substances Anti-Bacterial Agents Actions. Copy Download.


Infections in Pregnancy: Asymptomatic Bacteriuria

Aka: Asymptomatic Bacteriuria. These images are a random sampling from a Bing search on the term "Asymptomatic Bacteriuria. Search Bing for all related images. Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences.


[Bacteriuria. Cochrane Database Syst Rev. 2015;4:CD009534]

Asymptomatic bacteriuria ASB is a common finding in many populations, including healthy women and persons with underlying urologic abnormalities. The guideline from the Infectious Diseases Society of America recommended that ASB should be screened for and treated only in pregnant women or in an individual prior to undergoing invasive urologic procedures. Treatment was not recommended for healthy women; older women or men; or persons with diabetes, indwelling catheters, or spinal cord injury. The guideline did not address children and some adult populations, including patients with neutropenia, solid organ transplants, and nonurologic surgery.



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