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Asymptomatic Bacteriuria

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1. Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods - Addendum to Commission S13-02

Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods - Addendum to Commission S13-02 1 Translation of the executive summary of the addendum S16-01 Screening auf asymptomatische Bakteriurie im Rahmen der Mutterschafts-Richtlinien unter besonderer Berücksichtigung der Testmethoden – Addendum zum Auftrag S13-02 (Version 1.0; Status: 19 October 2016). Please note: This document was translated by an external (...) translator and is provided as a service by IQWiG to English-language readers. However, solely the German original text is absolutely authoritative and legally binding. Extract IQWiG Reports – Commission No. S16-01 Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods – Addendum to Commission S13-02 1 Extract of addendum S16-01 Version 1.0 Screening for bacteriuria in pregnant women 19 October 2016 Institute for Quality

2019 Institute for Quality and Efficiency in Healthcare (IQWiG)

2. Antibiotics for asymptomatic bacteriuria in kidney transplant recipients. (PubMed)

Antibiotics for asymptomatic bacteriuria in kidney transplant recipients. Asymptomatic bacteriuria, defined as bacteriuria without signs or symptoms of urinary tract infection (UTI), occurs in 17% to 51% of kidney transplant recipients and is thought to increase the risk for a subsequent UTI. No consensus exists on the role of antibiotics for asymptomatic bacteriuria in kidney transplantation.To assess the benefits and harms of treating asymptomatic bacteriuria in kidney transplant recipients (...) Portal, and ClinicalTrials.gov.All randomised controlled trials (RCTs) and quasi-RCTs in any language assessing treatment of asymptomatic bacteriuria in kidney transplant recipients at any time-point after transplantation.Two authors independently determined study eligibility, assessed quality and extracted data. Primary outcomes were incidence of symptomatic UTI and incidence of antimicrobial resistance. Other outcomes included incidences of all-cause mortality, graft loss, graft rejection, graft

2018 Cochrane

5. Asymptomatic Bacteriuria

Asymptomatic Bacteriuria IDSA FEATURES IDSA 2019 Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria • cid 2019:XX (XX XXXX) • 1 Clinical Infectious Diseases Received 29 November 2018; editorial decision 20 December 2018; accepted 27 December 2018; published online March 21, 2019. a The guidelines represent the proprietary and copyrighted property of the Infectious Diseases Society of America (IDSA). Copyright 2018 IDSA. All rights reserved. No part of these guide- lines (...) Sciences Centre 820 Sherbrook St, School of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, R3A 1R9, Canada (Lindsay.Nicolle@umanitoba.ca). Clinical Infectious Diseases ® 2019;XX(XX):1–28 © The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com. DOI: 10.1093/cid/ciy1121 Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria

2019 Infectious Diseases Society of America

6. Asymptomatic Bacteriuria in Adults: Screening

Asymptomatic Bacteriuria in Adults: Screening Final Recommendation Statement: Asymptomatic Bacteriuria in Adults: Screening - US Preventive Services Task Force Search USPSTF Website Text size: Assembly version: 1.0.0.308 Last Build: 5/9/2019 1:01:08 PM You are here: Final Recommendation Statement : Final Recommendation Statement Final Recommendation Statement Asymptomatic Bacteriuria in Adults: Screening Recommendations made by the USPSTF are independent of the U.S. government. They should (...) not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services. Recommendation Summary Population Recommendation Grade Pregnant persons The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons. Nonpregnant adults The USPSTF recommends against screening for asymptomatic bacteriuria in nonpregnant adults. To read the recommendation statement in JAMA , select . To read the evidence summary

2019 U.S. Preventive Services Task Force

7. Asymptomatic Bacteriuria in Pregnancy

Asymptomatic Bacteriuria in Pregnancy Canadian Task Force on Preventive Health Care | Asymptomatic Bacteriuria in Pregnancy (2018) English Menu Get Involved Asymptomatic Bacteriuria in Pregnancy (2018) Asymptomatic Bacteriuria in Pregnancy (2018) Click to view article Tools Additional Documents Click to see additional documents Endorsements This Clinical Practice Guideline has been endorsed by the Nurse Practitioners’ Association of Canada (NPAC). This Clinical Practice Guideline has been (...) ) are available on QxMD. Click to download the app. Summary of recommendations for clinicians and policy-makers Recommendations were based on the overall balance between possible benefits and harms of screening, weighing the potential benefits against any harms. Overall, very low-quality evidence from four cohort studies (n=7,611) was found for the benefits and harms of screening for asymptomatic bacteriuria (ASB) in pregnancy. There were few events, effect estimates were highly imprecise and we are uncertain

2018 Canadian Task Force on Preventive Health Care

8. [Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods - addendum to Commission S13-02]

[Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods - addendum to Commission S13-02] Screening auf asymptomatische bakteriurie im rahmen der mutterschafts-richtlinien unter besonderer berücksichtigung der testmethoden: addendum zum auftrag S13-02; auftrag S16-01 [Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods (...) - addendum to Commission S13-02] Screening auf asymptomatische bakteriurie im rahmen der mutterschafts-richtlinien unter besonderer berücksichtigung der testmethoden: addendum zum auftrag S13-02; auftrag S16-01 [Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods - addendum to Commission S13-02] Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWiG) Record Status This is a bibliographic record

2017 Health Technology Assessment (HTA) Database.

9. Screening for Asymptomatic Bacteriuria in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. (PubMed)

Screening for Asymptomatic Bacteriuria in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Screening for asymptomatic bacteriuria can identify patients for whom treatment might be beneficial for preventing symptomatic infection and other health outcomes.To systematically review benefits and harms of asymptomatic bacteriuria screening and treatment in adults, including during pregnancy, to inform the US Preventive Services Task Force.MEDLINE (...) , PubMed (publisher-supplied records), and Cochrane Collaboration Central Registry of Controlled Trials; surveillance through May 24, 2019.Randomized clinical trials (RCTs) and observational studies on benefits and harms of screening for asymptomatic bacteriuria; RCTs on benefits and harms of asymptomatic bacteriuria treatment. Eligible populations included unselected, asymptomatic individuals without known urinary tract conditions.Independent critical appraisal and data abstraction by 2 reviewers

2019 JAMA

10. Screening for Asymptomatic Bacteriuria in Adults: US Preventive Services Task Force Recommendation Statement. (PubMed)

Screening for Asymptomatic Bacteriuria in Adults: US Preventive Services Task Force Recommendation Statement. 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.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.This recommendation applies to community-dwelling adults 18 years and older and pregnant

2019 JAMA

11. Antibiotics for asymptomatic bacteriuria in pregnancy. (PubMed)

Antibiotics for asymptomatic bacteriuria in pregnancy. Asymptomatic bacteriuria occurs in 2% to 10% of pregnancies and, if not treated, up to 30% of mothers will develop acute pyelonephritis. Asymptomatic bacteriuria has been associated with low birthweight and preterm birth.To assess the effect of antibiotic treatment for asymptomatic bacteriuria on the development of pyelonephritis and the risk of low birthweight and preterm birth.We searched the Cochrane Pregnancy and Childbirth Group's (...) Trials Register (19 March 2015) and reference lists of retrieved studies.Randomized trials comparing antibiotic treatment with placebo or no treatment in pregnant women with asymptomatic bacteriuria found on antenatal screening.Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy.Fourteen studies, involving almost 2000 women, were included. Antibiotic treatment compared with placebo or no treatment reduced the incidence

2015 Cochrane

12. Antibiotics for asymptomatic bacteriuria. (PubMed)

Antibiotics for asymptomatic bacteriuria. Asymptomatic bacteriuria is commonly detected in women aged up to 60 years, patients with diabetes, and the elderly. The benefit of antibiotic treatment for this condition is controversial.To assess the effectiveness and safety of antibiotics treatment for asymptomatic bacteriuria in adults. Specific objectives were to assess 1) the effectiveness of antibiotics for preventing development of symptomatic UTI, UTI-related complications, overall mortality (...) or no treatment for asymptomatic bacteriuria in adults were included. The outcomes of interest were the development of symptomatic urinary tract infection (UTI), complications, death, any adverse event, development of antibiotic resistance, bacteriological cure, and decline in kidney function.Two authors independently extracted the data and assessed study quality. Statistical analyses were performed using the random effects model and the results expressed as risk ratios (RR) with 95% confidence intervals (CI

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2015 Cochrane

13. Duration of treatment for asymptomatic bacteriuria during pregnancy. (PubMed)

Duration of treatment for asymptomatic bacteriuria during pregnancy. A previous Cochrane systematic review has shown that antibiotic drug treatment of asymptomatic bacteriuria in pregnant women substantially decreases the risk of pyelonephritis and reduces the risk of preterm delivery. However, it is not clear whether single-dose therapy is as effective as longer conventional antibiotic treatment.To assess the effects of different durations of treatment for asymptomatic bacteriuria (...) assessed the quality of the evidence using the GRADE approach.We included 13 studies, involving 1622 women. All were comparisons of single-dose treatment with short-course (four- to seven-day) treatments. The risk of bias of trials included in this review was largely unclear, and most trials were at high risk of performance bias. The quality of the evidence was assessed using the GRADE approach. When the any antibiotic agent was used, the 'no cure' rate for asymptomatic bacteriuria in pregnant women

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2015 Cochrane

14. Recommendations on screening for asymptomatic bacteriuria in pregnancy (PubMed)

Recommendations on screening for asymptomatic bacteriuria in pregnancy 29986858 2018 11 14 1488-2329 190 27 2018 Jul 09 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Recommendations on screening for asymptomatic bacteriuria in pregnancy. E823-E830 10.1503/cmaj.171325 Moore Ainsley A Department of Family Medicine (Moore), McMaster University, Hamilton, Ont.; Public Health Agency of Canada (Doull, Courage, Jaramillo Garcia), Ottawa, Ont

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2018 EvidenceUpdates

15. [Maternal and neonatal consequences of treated and untreated asymptomatic bacteriuria in pregnancy: A prospective cohort study with an embedded randomised controlled trial]. (PubMed)

[Maternal and neonatal consequences of treated and untreated asymptomatic bacteriuria in pregnancy: A prospective cohort study with an embedded randomised controlled trial]. 26803462 2017 08 08 2018 12 02 1578-8865 42 6 2016 09 Semergen Semergen [Maternal and neonatal consequences of treated and untreated asymptomatic bacteriuria in pregnancy: A prospective cohort study with an embedded randomised controlled trial]. 402-3 10.1016/j.semerg.2015.11.002 S1138-3593(15)00413-X Divisón Garrote J A JA (...) Médico de Familia, Centro de Salud Casas Ibáñez, Casas-Ibáñez, Albacete, España; Facultad de Medicina, Universidad Católica San Antonio de Murcia, Murcia, España; Grupo de Hipertensión Arterial SEMERGEN. Electronic address: jadivison@telefonica.net. Escobar Cervantes C C Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España; Grupo de Hipertensión Arterial SEMERGEN. spa Journal Article Comment Consecuencias maternas y de neonatos tratados y sin tratar de bacteriuria asintomática en el

2017 Semergen

16. Asymptomatic bacteriuria in pregnant women attending Boo-Ali Hospital Tehran Iran: Urine analysis vs. urine culture (PubMed)

Asymptomatic bacteriuria in pregnant women attending Boo-Ali Hospital Tehran Iran: Urine analysis vs. urine culture Asymptomatic bacteriuria is one of the common problems in pregnancy. Asymptomatic bacteriuria is associated with pyelonephritis, preterm labor and low birth weight infants. The physiological and anatomical changes in pregnancy facilitate urinary tract infection (UTI) during pregnancy. Several tests are available for diagnosis of asymptomatic bacteriuria. The urine culture (...) is a gold standard diagnostic test for asymptomatic bacteriuria but it is expensive and time-consuming. Screening methods may be useful in detecting high-risk pregnant women for asymptomatic bacteriuria.The aim of the present study was to compare urine analysis as a rapid screening test to urine culture in diagnosis of asymptomatic bacteriuria.A total of 123 pregnant women attending the obstetrics clinic of Boo-Ali hospital in Tehran, Iran from March 2013 to September 2014 were included in the present

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2017 Electronic physician

17. Determination of Escherichia coli phylogroups in elderly patients with urinary tract infection or asymptomatic bacteriuria. (PubMed)

Determination of Escherichia coli phylogroups in elderly patients with urinary tract infection or asymptomatic bacteriuria. Distinguishing between urinary tract infection (UTI) and asymptomatic bacteriuria (ABU) is difficult in the geriatric population since specific symptoms are often lacking. Escherichia coli is the most frequent UTI pathogen in this population but also a common urine colonizer. We hypothesized that detecting E. coli phylogroups B2 or D, which were previously associated (...) with virulent strains responsible for extra-intestinal infections outside elderly patients, could help in distinguishing UTI from ABU.Consecutive cases of E. coli bacteriuria diagnosed in hospitalized patients >75 years old during 3 months were investigated for E. coli phylogroups. Multiplex PCR was used to search for several virulence genes as previously described. Characteristics of UTI and ABU cases, assessed retrospectively according to definitions and geriatric expertise, were compared.Out of 233

2019 Clinical Microbiology and Infection

18. Antimicrobial therapy for asymptomatic bacteriuria or candiduria in advanced cancer patients transitioning to comfort measures. (PubMed)

Antimicrobial therapy for asymptomatic bacteriuria or candiduria in advanced cancer patients transitioning to comfort measures. Among 300 advanced cancer patients with potential urinary tract infection (UTI), 19 had symptomatic UTI. Among remaining patients (n = 281), 21% had asymptomatic bacteriuria or candiduria, and 14% received inappropriate therapy for 279 antimicrobial days. Bacteriuria or candiduria predicted antimicrobial therapy. At 10,000 to <100,000 CFU/mL, the incidence rate

2019 Infection control and hospital epidemiology

19. Asymptomatic bacteriuria in pediatric kidney transplant recipients: to treat or not to treat? A retrospective study. (PubMed)

Asymptomatic bacteriuria in pediatric kidney transplant recipients: to treat or not to treat? A retrospective study. Urinary tract infections (UTI) are common infectious complications in kidney transplant recipients (KTR); asymptomatic bacteriuria (AB) is also frequent. It is unclear whether treatment of AB reduces subsequent UTI in KTR; no guideline is available in pediatric KTR. In this retrospective study, we analyzed the incidence of AB in pediatric KTR and the impact of screening

2019 Pediatric Nephrology

20. The etiology and prevalence of urinary tract infection and asymptomatic bacteriuria in pregnant women in Iran: a systematic review and Meta-analysis. (PubMed)

The etiology and prevalence of urinary tract infection and asymptomatic bacteriuria in pregnant women in Iran: a systematic review and Meta-analysis. Urinary tract infection (UTI) is a common clinical problem in pregnant women. Bacteriuria in pregnancy without antibiotic treatment could result in complications. This study aims to investigate the etiology and prevalence of UTI and asymptomatic bacteriuria (ASB) in pregnant women in Iran.This meta-analysis follows the Preferred Reporting Items

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2019 BMC Urology

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