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Asymptomatic bacteriuria

MedGen UID:
537418
•Concept ID:
C0262380
•
Disease or Syndrome
Synonym: ASB - Asymptomatic bacteriuria
SNOMED CT: Asymptomatic bacteriuria (720406004); ASB - Asymptomatic bacteriuria (720406004)

Professional guidelines

PubMed

Asymptomatic Bacteriuria: Prevalence, Diagnosis, Management, and Current Antimicrobial Stewardship Implementations.
Luu T, Albarillo FS
Am J Med 2022 Aug;135(8):e236-e244. Epub 2022 Mar 31 doi: 10.1016/j.amjmed.2022.03.015. PMID: 35367448
Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America.
Nicolle LE, Gupta K, Bradley SF, Colgan R, DeMuri GP, Drekonja D, Eckert LO, Geerlings SE, Köves B, Hooton TM, Juthani-Mehta M, Knight SL, Saint S, Schaeffer AJ, Trautner B, Wullt B, Siemieniuk R
Clin Infect Dis 2019 May 2;68(10):e83-e110. doi: 10.1093/cid/ciy1121. PMID: 30895288
Diagnosis and treatment of urinary tract infections across age groups.
Chu CM, Lowder JL
Am J Obstet Gynecol 2018 Jul;219(1):40-51. Epub 2018 Jan 2 doi: 10.1016/j.ajog.2017.12.231. PMID: 29305250

Recent clinical studies

Etiology

Urinary tract infections in pregnancy.
Ansaldi Y, Martinez de Tejada Weber B
Clin Microbiol Infect 2023 Oct;29(10):1249-1253. Epub 2022 Aug 27 doi: 10.1016/j.cmi.2022.08.015. PMID: 36031053
Asymptomatic Bacteriuria: Prevalence, Diagnosis, Management, and Current Antimicrobial Stewardship Implementations.
Luu T, Albarillo FS
Am J Med 2022 Aug;135(8):e236-e244. Epub 2022 Mar 31 doi: 10.1016/j.amjmed.2022.03.015. PMID: 35367448
Complicated urinary tract infections with diabetes mellitus.
Kamei J, Yamamoto S
J Infect Chemother 2021 Aug;27(8):1131-1136. Epub 2021 May 20 doi: 10.1016/j.jiac.2021.05.012. PMID: 34024733
Urinary tract infections in children.
Tullus K, Shaikh N
Lancet 2020 May 23;395(10237):1659-1668. doi: 10.1016/S0140-6736(20)30676-0. PMID: 32446408
Clinical Presentations and Epidemiology of Urinary Tract Infections.
Geerlings SE
Microbiol Spectr 2016 Oct;4(5) doi: 10.1128/microbiolspec.UTI-0002-2012. PMID: 27780014

Diagnosis

Urinary Tract Infections: Core Curriculum 2024.
Al Lawati H, Blair BM, Larnard J
Am J Kidney Dis 2024 Jan;83(1):90-100. Epub 2023 Oct 30 doi: 10.1053/j.ajkd.2023.08.009. PMID: 37906240
Urinary tract infections in pregnancy.
Ansaldi Y, Martinez de Tejada Weber B
Clin Microbiol Infect 2023 Oct;29(10):1249-1253. Epub 2022 Aug 27 doi: 10.1016/j.cmi.2022.08.015. PMID: 36031053
Asymptomatic Bacteriuria: Prevalence, Diagnosis, Management, and Current Antimicrobial Stewardship Implementations.
Luu T, Albarillo FS
Am J Med 2022 Aug;135(8):e236-e244. Epub 2022 Mar 31 doi: 10.1016/j.amjmed.2022.03.015. PMID: 35367448
Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America.
Nicolle LE, Gupta K, Bradley SF, Colgan R, DeMuri GP, Drekonja D, Eckert LO, Geerlings SE, Köves B, Hooton TM, Juthani-Mehta M, Knight SL, Saint S, Schaeffer AJ, Trautner B, Wullt B, Siemieniuk R
Clin Infect Dis 2019 May 2;68(10):e83-e110. doi: 10.1093/cid/ciy1121. PMID: 30895288
Clinical Presentations and Epidemiology of Urinary Tract Infections.
Geerlings SE
Microbiol Spectr 2016 Oct;4(5) doi: 10.1128/microbiolspec.UTI-0002-2012. PMID: 27780014

Therapy

Urinary Tract Infections: Core Curriculum 2024.
Al Lawati H, Blair BM, Larnard J
Am J Kidney Dis 2024 Jan;83(1):90-100. Epub 2023 Oct 30 doi: 10.1053/j.ajkd.2023.08.009. PMID: 37906240
Urinary tract infections in pregnancy.
Ansaldi Y, Martinez de Tejada Weber B
Clin Microbiol Infect 2023 Oct;29(10):1249-1253. Epub 2022 Aug 27 doi: 10.1016/j.cmi.2022.08.015. PMID: 36031053
Asymptomatic Bacteriuria: Prevalence, Diagnosis, Management, and Current Antimicrobial Stewardship Implementations.
Luu T, Albarillo FS
Am J Med 2022 Aug;135(8):e236-e244. Epub 2022 Mar 31 doi: 10.1016/j.amjmed.2022.03.015. PMID: 35367448
Urinary tract infections in children.
Tullus K, Shaikh N
Lancet 2020 May 23;395(10237):1659-1668. doi: 10.1016/S0140-6736(20)30676-0. PMID: 32446408
Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America.
Nicolle LE, Gupta K, Bradley SF, Colgan R, DeMuri GP, Drekonja D, Eckert LO, Geerlings SE, Köves B, Hooton TM, Juthani-Mehta M, Knight SL, Saint S, Schaeffer AJ, Trautner B, Wullt B, Siemieniuk R
Clin Infect Dis 2019 May 2;68(10):e83-e110. doi: 10.1093/cid/ciy1121. PMID: 30895288

Prognosis

Urinary tract infections in pregnancy.
Ansaldi Y, Martinez de Tejada Weber B
Clin Microbiol Infect 2023 Oct;29(10):1249-1253. Epub 2022 Aug 27 doi: 10.1016/j.cmi.2022.08.015. PMID: 36031053
Updates on urinary tract infections in kidney transplantation.
Fiorentino M, Pesce F, Schena A, Simone S, Castellano G, Gesualdo L
J Nephrol 2019 Oct;32(5):751-761. Epub 2019 Jan 28 doi: 10.1007/s40620-019-00585-3. PMID: 30689126
Diagnosis and treatment of urinary tract infections across age groups.
Chu CM, Lowder JL
Am J Obstet Gynecol 2018 Jul;219(1):40-51. Epub 2018 Jan 2 doi: 10.1016/j.ajog.2017.12.231. PMID: 29305250
Clinical Presentations and Epidemiology of Urinary Tract Infections.
Geerlings SE
Microbiol Spectr 2016 Oct;4(5) doi: 10.1128/microbiolspec.UTI-0002-2012. PMID: 27780014
Bacteriuria in pregnancy.
Patterson TF, Andriole VT
Infect Dis Clin North Am 1987 Dec;1(4):807-22. PMID: 3333660

Clinical prediction guides

Sulopenem for the Treatment of Complicated Urinary Tract Infections Including Pyelonephritis: A Phase 3, Randomized Trial.
Dunne MW, Aronin SI, Das AF, Akinapelli K, Breen J, Zelasky MT, Puttagunta S
Clin Infect Dis 2023 Jan 6;76(1):78-88. doi: 10.1093/cid/ciac704. PMID: 36068705Free PMC Article
Should asymptomatic bacteriuria be treated in lupus nephritis?
López-Vargas JR, Barbosa-Cobos RE, Maya-Piña LV, Rocha-Rocha VM
Lupus 2022 Apr;31(4):457-462. Epub 2022 Mar 8 doi: 10.1177/09612033221083272. PMID: 35259997
Asymptomatic Bacteriuria and Pyuria in Premenopausal Women.
Hooton TM, Roberts PL, Stapleton AE
Clin Infect Dis 2021 Apr 26;72(8):1332-1338. doi: 10.1093/cid/ciaa274. PMID: 32179902Free PMC Article
Diagnosis and treatment of urinary tract infections across age groups.
Chu CM, Lowder JL
Am J Obstet Gynecol 2018 Jul;219(1):40-51. Epub 2018 Jan 2 doi: 10.1016/j.ajog.2017.12.231. PMID: 29305250
Asymptomatic Bacteriuria and Bacterial Interference.
Nicolle LE
Microbiol Spectr 2015 Oct;3(5) doi: 10.1128/microbiolspec.UTI-0001-2012. PMID: 26542046

Recent systematic reviews

Treatment of Asymptomatic Bacteriuria after Kidney Transplantation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Rao Z, Wang Z, Tang M, Shen L, Zhang K
Medicina (Kaunas) 2023 Sep 5;59(9) doi: 10.3390/medicina59091600. PMID: 37763718Free PMC Article
Evaluation of efficacy and safety of fosfomycin versus nitrofurantoin for the treatment of uncomplicated lower urinary tract infection (UTI) in women - A systematic review and meta-analysis.
Konwar M, Gogtay NJ, Ravi R, Thatte UM, Bose D
J Chemother 2022 May;34(3):139-148. Epub 2021 Jun 21 doi: 10.1080/1120009X.2021.1938949. PMID: 34151754
Associations of delirium with urinary tract infections and asymptomatic bacteriuria in adults aged 65 and older: A systematic review and meta-analysis.
Krinitski D, Kasina R, Klöppel S, Lenouvel E
J Am Geriatr Soc 2021 Nov;69(11):3312-3323. Epub 2021 Aug 27 doi: 10.1111/jgs.17418. PMID: 34448496Free PMC Article
Antibiotics for asymptomatic bacteriuria in pregnancy.
Smaill FM, Vazquez JC
Cochrane Database Syst Rev 2019 Nov 25;2019(11) doi: 10.1002/14651858.CD000490.pub4. PMID: 31765489Free PMC Article
The diagnosis of urinary tract infection: a systematic review.
Schmiemann G, Kniehl E, Gebhardt K, Matejczyk MM, Hummers-Pradier E
Dtsch Arztebl Int 2010 May;107(21):361-7. Epub 2010 May 28 doi: 10.3238/arztebl.2010.0361. PMID: 20539810Free PMC Article

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