Is screening for bacteriuria in pregnancy worthwhile?

Recommendations on screening for asymptomatic bacteriuria in pregnancy

“…4 Eleven studies were RCTs, and four were nonrandomized controlled clinical trials. All but one, in Jamaica, 20 were conducted in high-income countries, including the US, 6,[21][22][23][24] United Kingdom, [25][26][27] Ireland, 28 Australia, [29][30][31] Denmark 32 and the Netherlands. 4 Studies varied in terms of testing protocols (e.g., timing during pregnancy, number of confirmatory urine…”

Screening for Asymptomatic Bacteriuria in Adults

“…In total, 19 studies (1 good quality, 18 fair quality; N = 8443) of asymptomatic bacteriuria screening or treatment were included in this review. [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] Of these, 14 were conducted with pregnant populations: 2 comparative cohort studies of screening effectiveness and harms (KQ1, KQ2) and 12 trials of the effectiveness and harms of asymptomatic bacteriuria treatment (KQ3, KQ4). Five trials examined the effectiveness and harms of asymptomatic bacteriuria treatment (KQ3, KQ4) among nonpregnant adults, primarily women and older adults.…”

“…Twelve trials of pregnant women screened for asymptomatic bacteriuria and randomized to either a treatment or control condition were included (n = 2377). [17][18][19][20][22][23][24][25][26][27]29,33 All but 2 29,33 were published in the 1960s or 1970s ( Table 1). The 2 most recently published studies were conducted in the Netherlands (2015) 33 and Ireland (1987).…”

The management of urogynaecological problems in pregnancy and the early postpartum period

“…Urinary tract infection (UTI) is the most common medical complication of pregnancy . The incidence of asymptomatic bacteruria during pregnancy is 2–5% and if not treated, up to 20% of women will develop a lower UTI. The overall incidence of UTI in pregnancy is 8% .…”