Asymptomatic Bacteriuria Management
Key Points
Key Points
- For women, two consecutive specimens should be obtained, preferably within 2 weeks, to confirm the persistence of bacteriuria. From 10–60% of women, varying with the population, do not have persistent bacteriuria on repeat screening after an initial positive specimen.
- For men, a single urine specimen meeting these quantitative criteria is sufficient for diagnosis.
Screening for and treatment of ASB is only recommended for pregnant women and prior to endourologic procedures.
Studies in other populations suggest that antimicrobial treatment does not confer any benefits, but does increase the risk of adverse outcomes including antimicrobial resistance and Clostridiodes difficile infection. In some cases the risk of UTI shortly following therapy may be increased.
Management
Manageme...
...ial Populations...
...nts and children, the IDSA recommends against s...
...ealthy pre-menopausal, non-pregnant women...
...regnant women, the IDSA recommends screening...
...ant women with ASB, the IDSA suggests 4–7 days...
...mmunity-dwelling persons who are functionally i...
...er persons resident in long-term care faci...
...morbiditie...
...nts with functional or cognitive impairment and...
...r patients with functional and/or cognitive im...
...with diabetes, the IDSA recommends aga...
In renal transplant recipients who have had...
...s with non-renal solid organ transpla...
...s with high-risk neutropenia (
...ents with spinal cord injury (SCI), the ID...
Catheters
...patients with a short-term indwelling u...
...patients with indwelling catheters, the IDS...
...patients with long-term indwelling catheters, th...
Surgery
...ndergoing elective non-urologic surge...
...n patients who will undergo endoscopi...
...ts who will undergo endoscopic urologic...
...ith ASB who will undergo a urologic proc...
...atients planning to undergo surgery for an artific...
...evice...
...patients living with implanted urologic...