bacteriuria

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Etiology

Epidemiology

Clinical manifestations

Laboratory

Complications

* risk not diminished by antibiotics & organisms isolated from infected joint never the same as organism isolated from preoperative urine[10]

Differential diagnosis

Management

* treatment of recurrent bacteriuria with antibiotics is associated with emergence of multidrug-resistant gram-negative rods[16]

More general terms

Additional terms

References

  1. Norman D, UCLA Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
  2. 2.0 2.1 2.2 Journal Watch 23(1):9, 2003 Harding GKM et al Antimicrobial treatment in diabetic women with asymptomatic bacteriuria. N Engl J Med 347:1576, 2002 PMID: https://www.ncbi.nlm.nih.gov/pubmed/12432044
    Andriole VT Asymptomatic bacteriuria in patients with diabetes-enemy or innocent visitor? N Engl J Med 347:1617, 2002 PMID: https://www.ncbi.nlm.nih.gov/pubmed/12432051
  3. 3.0 3.1 3.2 Loeb M, Brazil K, Lohfeld L, McGeer A, Simor A, Stevenson K, Zoutman D, Smith S, Liu X, Walter SD. Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: cluster randomised controlled trial. BMJ. 2005 Sep 24;331(7518):669. Epub 2005 Sep 8. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/16150741 <Internet> http://bmj.bmjjournals.com/cgi/content/full/331/7518/669
  4. 4.0 4.1 4.2 4.3 4.4 Medical Knowledge Self Assessment Program (MKSAP) 14, 15, 16, 18, 19. American College of Physicians, Philadelphia 2006, 2009, 2012, 2018, 2021.
  5. 5.0 5.1 5.2 Cai T et al. The role of asymptomatic bacteriuria in young women with recurrent urinary tract infections: To treat or not to treat? Clin Infect Dis 2012 Sep 15; 55:771 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22677710
    Wagenlehner FME and Naber KG. Asymptomatic bacteriuria - Shift of paradigm. Clin Infect Dis 2012 Sep 15; 55:778 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22677709
  6. Lin E, Bhusal Y, Horwitz D, et al. Overtreatment of enterococcal bacteriuria. Arch Intern Med 2012; 172:33-38 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22232145
  7. Nicolle LE, Bradley S, Colgan R, et al Infectious Disease Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria. Clin Infect Dis 2005; 40:643-654 PMID: https://www.ncbi.nlm.nih.gov/pubmed/15714408
  8. 8.0 8.1 Choosing Wisely American Academy of Pediatrics Ten Things Physicians and Patients Should Question. http://www.choosingwisely.org/doctor-patient-lists/american-academy-of-pediatrics/
    AGS Choosing Wisely Workgroup. American Geriatrics Society identifies five things that healthcare providers and patients should question. J Am Geriatr Soc. 2013;61:622-631. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23469880
  9. 9.0 9.1 Leis JA et al. Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: A proof-of-concept study. Clin Infect Dis 2014 Apr 1; 58:980. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24577290 <Internet> http://cid.oxfordjournals.org/content/58/7/980
    Naik AD and Trautner BW. Doing the right thing for asymptomatic bacteriuria: Knowing less leads to doing less. Clin Infect Dis 2014 Apr 1; 58:984. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24577289 <Internet> http://cid.oxfordjournals.org/content/58/7/984
  10. 10.0 10.1 10.2 Sousa R et al. Is asymptomatic bacteriuria a risk factor for prosthetic joint infection? Clin Infect Dis 2014 Jul 1; 59:41. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24723280 <Internet> http://cid.oxfordjournals.org/content/59/1/41
    Duncan RA. Prosthetic joint replacement: Should orthopedists check urine because it's there? Clin Infect Dis 2014 Jul 1; 59:48 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24723277 <Internet> http://cid.oxfordjournals.org/content/59/1/48
  11. 11.0 11.1 Choosing Wisely. Feb 23, 2015 Infectious Diseases Society of America Five Things Physicians and Patients Should Question http://www.choosingwisely.org/doctor-patient-lists/infectious-diseases-society-of-america/
  12. 12.0 12.1 Kazemier BM et al Maternal and neonatal consequences of treated and untreated asymptomatic bacteriuria in pregnancy: a prospective cohort study with an embedded randomised controlled trial. Lancet Infectious Diseases. Aug 5, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26255208 <Internet> http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2815%2900070-5/abstract
    Nicolle LE Management of asymptomatic bacteriuria in pregnant women. Lancet Infectious Diseases. Aug 5, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26255209 <Internet> http://www.thelancet.com/journals/laninf/article/PIIS1473-3099%2815%2900145-0/abstract
  13. 13.0 13.1 Cai T et al. Asymptomatic bacteriuria treatment is associated with a higher prevalence of antibiotic resistant strains in women with urinary tract infections. Clin Infect Dis 2015 Dec 1; 61:1655. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26270684 <Internet> http://cid.oxfordjournals.org/content/61/11/1655
    Wagenlehner FM, Naber KG. Treatment of asymptomatic bacteriuria might be harmful. Clin Infect Dis 2015 Dec 1; 61:1662 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26270681 <Internet> http://cid.oxfordjournals.org/content/61/11/1662
  14. Nicolle LE. Asymptomatic bacteriuria. Curr Opin Infect Dis. 2014 Feb;27(1):90-6. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24275697
  15. 15.0 15.1 Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016
  16. 16.0 16.1 Das R, Towle V, Van Ness PH, Juthani-Mehta M. Adverse outcomes in nursing home residents with increased episodes of observed bacteriuria. Infect Control Hosp Epidemiol. 2011 Jan;32(1):84-6. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21091203 Free PMC Article
  17. 17.0 17.1 17.2 Nicolle LE, Gupta K, Bradley SF et al. Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America. Clin Infect Dis 2019 Mar 21; PMID: https://www.ncbi.nlm.nih.gov/pubmed/30895288 https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciy1121/5407612
  18. U.S. Preventive Services Task Force (USPSTF) Cabana M, Caughey AB, Doubeni CA et al Screening for Asymptomatic Bacteriuria in Adults. US Preventive Services Task Force Recommendation Statement. JAMA. 2019;322(12):1188-1194 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31550038 https://jamanetwork.com/journals/jama/fullarticle/2751726
    Nicolle LE. Updated guidelines for screening for asymptomatic bacteriuria. JAMA 2019 Sep 24; 322:1152. PMID: https://www.ncbi.nlm.nih.gov/pubmed/31550011 https://jamanetwork.com/journals/jama/article-abstract/2751693
    Henderson JT, Webber Bean SI. U.S. Preventive Services Task Force (USPSTF) Screening for Asymptomatic Bacteriuria in AdultsUpdated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2019;322(12):1195-1205. PMID: https://www.ncbi.nlm.nih.gov/pubmed/31550037 https://jamanetwork.com/journals/jama/fullarticle/2751725
    Gupta K, Trautner BW The 2019 USPSTF Report on Screening for Asymptomatic Bacteriuria - Lessons From History. JAMA Netw Open. 2019;2(9):e1912522 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31550043 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2751864
  19. 19.0 19.1 Petty LA, Vaughn VM, Flanders SA et al. Risk factors and outcomes associated with treatment of asymptomatic bacteriuria in hospitalized patients. JAMA Intern Med 2019 Aug 26; PMID: https://www.ncbi.nlm.nih.gov/pubmed/31449295
  20. 20.0 20.1 20.2 Krinitski D, Kasina R, Kloppel S, Lenouvel E Associations of delirium with urinary tract infections and asymptomatic bacteriuria in adults aged 65 and older: A systematic review and meta-analysis. J Am Geriatr Soc. 2021. Aug 27 PMID: https://www.ncbi.nlm.nih.gov/pubmed/34448496 https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.1741
  21. Nicolle LE, Gupta K, Bradley SF, et al. Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America. Clin Infect Dis. 2019:68(10);1611-1615 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31506700 https://academic.oup.com/cid/article/68/10/e83/5407612
  22. 22.0 22.1 22.2 22.3 Gill BC, Shoskes DA. Bacterial prostatitis. Curr Opin Infect Dis. 2016;29:86-91. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26555038
  23. Nicolle LE, Gupta K, Bradley SF, et al. Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America. Clin Infect Dis. 2019;68:e83-e110. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30895288
  24. 24.0 24.1 Advani SD et al. Bacteremia from a presumed urinary source in hospitalized adults with asymptomatic bacteriuria. JAMA Netw Open 2024 Mar 4; 7:e242283 PMID: https://www.ncbi.nlm.nih.gov/pubmed/38477915 PMCID: PMC10938177 Free PMC article https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2816027
  25. 25.0 25.1 Stall NM, Kandel C, Reppas-Rindlisbacher C, et al. Antibiotics for delirium in older adults with pyuria or bacteriuria: A systematic review. J Am Geriatr Soc. 2024 Jun 19. PMID: https://www.ncbi.nlm.nih.gov/pubmed/38895992 https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.18964

Patient information

bacteriuria patient information