Asymptomatic bacteriuria in pregnancy treatment guidelines |123|

Asymptomatic bacteriuria in pregnancy treatment guidelines |123|




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Asymptomatic bacteriuria is a urinary tract infection (without symptoms) common in pregnancy. If untreated, it can lead to pyelonephritis (kidney infection). Antibiotic treatment is recommended. This review aimed to identify whether single?dose antibiotic treatments are as effective as longer ones for maternal and newborn outcomes. The Asymptomatic Bacteriuria GUIDELINES Pocket Guide is based on the latest guidelines of the Infectious Diseases Society of America and was developed with their collaboration. This practical quick-reference tool contains graded recommendations for management of asymptomatic bacteriuria in multiple settings. Treatment of any bacteriuria with colony counts ?100,000 CFU/mL in pregnancy is an accepted and recommended strategy and includes treatment with appropriate antibiotics. (II-2A) Maternal And Perinatal Risks Associated With Asymptomatic Group B Streptococcal (GBS) Bacteriuria In Pregnancy Women — Asymptomatic bacteriuria in women is defined by the Infectious Diseases Society of America (IDSA) guidelines as two consecutive clean-catch voided urine specimens with isolation of the same organism in quantitative counts of ?10 5 cfu/mL . Infectious Disease Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis. 2005; 40: 643-654. The investigators conclude that a routine screen-and-treat policy for asymptomatic bacteriuria in pregnant women is of questionable value. The Infectious Diseases Society of America (IDSA) has released evidence-based recommendations for the diagnosis and treatment of asymptomatic bacteriuria in adults. "Asymptomatic bacteriuria" is the presence of significant bacteria in urine without symptoms or signs of urinary tract infection and 2% to 10% of pregnant women may have asymptomatic bacteriuria. This research investigates factors associated with the use of antibiotics to treat asymptomatic bacteriuria (ASB) among nursing home residents. The most powerful predictor of antibiotic treatment for ASB was the presence of an indwelling urinary catheter. Guideline for Prevention of asymptomatic bacteriuria and pregnancy complications is uncertain. Screening for asymptomatic bacteriuria is done with the intention to treat with antibiotics when bacteriuria is identified. A screening guideline for asymptomatic bacteriuria must con-sider both potential benefits and possible harms of antibiotic treatment in pregnancy. Treatment Options: same as for asymptomatic bacteriuria. Follow-up urine culture 1-2 wks after treatment. Suppression Therapy: Indicated for: o Pregnant women after 2 or more UTI's (+urine culture) o Pregnant women with conditions that potentially increase risk of urinary complications during UTI (eg, DM, sickle cell trait) after first Treatment. Antibiotic treatment for asymptomatic bacteriuria is recommended for the following groups: Pregnant women. People about to undergo surgery in any part of the urinary tract. Men about to undergo prostate surgery. Some experts recommend treating asymptomatic bacteruria in people who have had a kidney transplant. When To Call a Professional Managing urinary tract infections in pregnancy 20-40% of pregnant women with asymptomatic bacteriuria may develop pyelonephritis later in pregnancy. 6 Antibiotic treatment for asymptomatic bacteriuria Smaill F. Asymptomatic bacteriuria and symptomatic urinary tract

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