[Asymptomatic bacteriuria; management choices in different patient groups].
Asymptomatic bacteriuria is a common medical condition, especially in women and elderly people. It is generally considered to be a benign condition, which does not require screening or antibiotic treatment. However, there are a few exceptions for which screening is possibly worthwhile. For children it is unclear whether the early detection of ASB can result in better clinical outcomes. Screening is therefore not advised, except for young children during the first few months after a symptomatic urinary tract infection. For pregnant women the use of screening for ASB is also unclear and in general not indicated. Research is necessary into the possible transition from ASB to pyelonephritis and the possible connection with low birth weight and premature births. There are indications that ASB in women with type I diabetes mellitus can lead to a deterioration in the renal function, yet these are insufficient to recommend screening as a routine procedure.
Meiland
R
R
Afd. Interne Geneeskunde, Zorgeenheid Acute Geneeskunde & Infectieziekten, Universitair Medisch Centrum Utrecht, Postbus 85, 500. 3508 GA Utrecht.
Geerlings
S E
SE
Hoes
A W
AW
Hoepelman
I M
IM
D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use*; D001437:Bacteriuria / Q000150:complications / Q000188:drug therapy*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D018579:Patient Selection; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy* / Q000382:microbiology; D012737:Sex Factors; D016896:Treatment Outcome
D000892:Anti-Infective Agents, Urinary