ASYMPTOMATIC BACTERIURIA

Asymptomatic bacteriuria (ABU) is one of the constituents of urinary tract infections (UTIs), defined as detected bacteriuria (³105 CFU/ml) in patients without symptoms of UTIs (dysuria, frequent urination, pain in the lower back or suprapubic region, fever), regardless of the presence or absence of pyuria. In women it is necessary to obtain two consecutive samples within 2 weeks to confirm the persistence of bacteriuria. Between 10 and 60 % of women, depending on the population, do not have persistent bacteriuria on repeat urine culture after an initial positive sample. European and American guidelines definitely do not recommend the treatment of ABU in healthy pre- and postmenopausal women, non-pregnant women, since there is no effect from the treatment of ABU in these categories of patients. Pregnant women should be screened for bacteriuria by urine culture in early pregnancy and, if positive, should be treated to reduce the chance of pyelonephritis, miscarriage, and fetal malnutrition.

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Автор(ы): A. V. Strotski