Asymptomatic Bacteriuria and Symptomatic Urinary Tract Infections During Pregnancy

Macejko, Amanda M.; Schaeffer, Anthony J.

doi:10.1016/j.ucl.2006.10.010

Cited by 115 publications

(127 citation statements)

References 38 publications

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“…El tratamiento antimicrobiano de la BA reduce de forma significativa la incidencia de pielonefritis y la frecuencia de parto pretérmino y bajo peso al nacer. 1 Está indicado realizar detección sistemática de la BA en la semana 12-16 de la gestación: 1,8,22,23 -Si el urocultivo es negativo y la paciente es de riesgo bajo, no son necesarios más controles. Si la paciente es de riesgo alto (IUs previas o anormalidades del tracto urinario), se realizará un control mensual.…”

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“…Si la paciente es de riesgo alto (IUs previas o anormalidades del tracto urinario), se realizará un control mensual. 8,23 · Si el urocultivo es positivo debe realizarse tratamiento según antibiograma. Se prefieren pautas cortas de 3 días o monodosis de fosfomicina trometamol para minimizar la exposición del feto.…”

Section: Embarazounclassified

“…En las pacientes con PNA se recomienda la hospitalización, al menos durante las primeras 48 h. hasta poder cambiar a la vía oral y excluir la presencia de complicaciones. 22,23 Casi un tercio de las embarazadas que padecen IU tendrán infecciones recurrentes. Por ello es necesario efectuar un seguimiento con urocultivos similar al propuesto para la BA.…”

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Recomendaciones prácticas para el diagnóstico y tratamiento de la infección urinaria en el adulto (II)

Corral¹,

Arévalo²,

Mondéjar³

2013

Gal. Clin.

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REVISIÓNRecomendaciones prácticas para el diagnóstico y tratamiento de la infección urinaria en el adulto (II) En el número anterior, se han tratado los aspectos generales en el diagnóstico y tratamiento de la infección urinaria, y las peculiaridades de los síndromes clínicos más frecuentes, cistitis y pielonefritis. En este número, se revisarán el manejo de la bacteriuria asintomática, las prostatitis y la candiduria, y las características de la infección en dos situaciones especiales, que son el sondaje y el embarazo. Practical recommendations for the diagnosis and treatment of urinary tract infection in adults (II)

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Recomendaciones prácticas para el diagnóstico y tratamiento de la infección urinaria en el adulto (II)

Corral¹,

Arévalo²,

Mondéjar³

2013

Gal. Clin.

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“…Over eight million cases of UTI annually were reported and more than one million were hospitalized, for an overall annual cost more than $1 billion [10][11][12], classifying hospital and antenatal clinic in the lead as source of UTI pathogens [2,13] and responsible for 35% of the cases where bacteraemia was the most common cause in hospitalized patients [14][15][16] Diagnosis of UTI causing organism is the major work load in medical laboratories where Escherichia coli reveal the highest predominate rate although, other reports showed that the causative organism of UTI is changing over the year and other microorganism were responsible for infection [13,14]. Many reports showed that UTI is common in patients with different symptoms [14]. However, our concern in this study is to focus on pregnant women at different age group were they believed to have highest infection rate [2,14].…”

Section: Introductionmentioning

confidence: 99%

“…Many reports showed that UTI is common in patients with different symptoms [14]. However, our concern in this study is to focus on pregnant women at different age group were they believed to have highest infection rate [2,14]. Due to the fact that untreated UTI in pregnancy can increases the risks of morbidity, and mortality to pregnant women and infant [17], keeping in mind that estimated 40 percent of women reported to have UTI some time in their lives [15], and by nature women are more susceptible to UTI because accessibility of organism to invade urethra and bladder easier than men [18].…”

Section: Introductionmentioning

confidence: 99%

Correlation of Urinary Tract Infection Pathogens, Antibiogram and Age Group in Pregnant Women

MN¹

2015

JMEN

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Screening for Asymptomatic Bacteriuria in Adults

Owens

Davidson

Krist

et al. 2019

JAMA

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IMPORTANCE Among the general adult population, women (across all ages) have the highest prevalence of asymptomatic bacteriuria, although rates increase with age among both men and women. Asymptomatic bacteriuria is present in an estimated 1% to 6% of premenopausal women and an estimated 2% to 10% of pregnant women and is associated with pyelonephritis, one of the most common nonobstetric reasons for hospitalization in pregnant women. Among pregnant persons, pyelonephritis is associated with perinatal complications including septicemia, respiratory distress, low birth weight, and spontaneous preterm birth. OBJECTIVE To update its 2008 recommendation, the USPSTF commissioned a review of the evidence on potential benefits and harms of screening for and treatment of asymptomatic bacteriuria in adults, including pregnant persons. POPULATION This recommendation applies to community-dwelling adults 18 years and older and pregnant persons of any age without signs and symptoms of a urinary tract infection. EVIDENCE ASSESSMENT Based on a review of the evidence, the USPSTF concludes with moderate certainty that screening for and treatment of asymptomatic bacteriuria in pregnant persons has moderate net benefit in reducing perinatal complications. There is adequate evidence that pyelonephritis in pregnancy is associated with negative maternal outcomes and that treatment of screen-detected asymptomatic bacteriuria can reduce the incidence of pyelonephritis in pregnant persons. The USPSTF found adequate evidence of harms associated with treatment of asymptomatic bacteriuria (including adverse effects of antibiotic treatment and changes in the microbiome) to be at least small in magnitude. The USPSTF concludes with moderate certainty that screening for and treatment of asymptomatic bacteriuria in nonpregnant adults has no net benefit. The known harms associated with treatment include adverse effects of antibiotic use and changes to the microbiome. Based on these known harms, the USPSTF determined the overall harms to be at least small in this group. RECOMMENDATIONS The USPSTF recommends screening pregnant persons for asymptomatic bacteriuria using urine culture. (B recommendation) The USPSTF recommends against screening for asymptomatic bacteriuria in nonpregnant adults. (D recommendation)

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Asymptomatic Bacteriuria and Symptomatic Urinary Tract Infections During Pregnancy

Cited by 115 publications

References 38 publications

Recomendaciones prácticas para el diagnóstico y tratamiento de la infección urinaria en el adulto (II)

Recomendaciones prácticas para el diagnóstico y tratamiento de la infección urinaria en el adulto (II)

Correlation of Urinary Tract Infection Pathogens, Antibiogram and Age Group in Pregnant Women

Screening for Asymptomatic Bacteriuria in Adults

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