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
M...
...Special Population...
...children, the IDSA recommends against screen...
...lthy pre-menopausal, non-pregnant women or health...
...t women, the IDSA recommends screening for and t...
...egnant women with ASB, the IDSA sug...
...community-dwelling persons who are...
...older persons resident in long-term care...
...Comorbidities...
...patients with functional or cognitive imp...
...n older patients with functional and/...
...ients with diabetes, the IDSA recomme...
...enal transplant recipients who have had renal...
...with non-renal solid organ transplant...
...ients with high-risk neutropenia...
...patients with spinal cord injury (SCI), the IDS...
...Catheters...
In patients with a short-term indwelling...
...ents with indwelling catheters, the IDSA...
...ients with long-term indwelling catheters...
...Surgery...
...patients undergoing elective non-urologic surgery...
...patients who will undergo endoscopic urologic...
...tients who will undergo endoscopic urologic pro...
In patients with ASB who will undergo a u...
...planning to undergo surgery for an art...
...Devices...
In patients living with implanted u...