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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)

4. What is the appropriate management of asymptomatic bacteriuria in patients undergoing pre-operative evaluation for joint arthroplasty?

What is the appropriate management of asymptomatic bacteriuria in patients undergoing pre-operative evaluation for joint arthroplasty? Chiefs’ Inquiry Corner – 12/9/19 – Clinical Correlations Search Chiefs’ Inquiry Corner – 12/9/19 December 9, 2019 2 min read The association between perioperative bacteriuria and development of a prosthetic joint infection (PJI) is not well-established, but some studies do demonstrate an increased risk compared to patients without bacteriuria. However (...) , in a large prospective multicenter study of nearly 2500 patients, treatment of the bacteriuria was not shown to decrease the risk of subsequent PJI; additionally, the vast majority of patients who develop PJIs do not demonstrate concordance between the bacteria growing in the urine and the bacteria growing in the wound culture. References: The presence of inflammation can make concurrent iron deficiency anemia difficult to diagnose, with international clinical guidelines providing various ferritin

2019 Clinical Correlations

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 Recommendation | United States Preventive Services Taskforce Toggle navigation Main navigation Main navigation Recommendation Pregnant persons The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons. B Nonpregnant adults The USPSTF recommends against screening for asymptomatic bacteriuria in nonpregnant adults. D View the Clinical Summary in What does the USPSTF recommend? For pregnant persons: Grade B (...) Screen persons who are pregnant for asymptomatic bacteriuria with a urine culture. For nonpregnant adults: Grade D Do not screen adults who are not pregnant for asymptomatic bacteriuria. To whom does this recommendation apply? This applies to adults 18 years and older and pregnant persons of any age without signs and symptoms of a urinary tract infection. It does not apply to persons who have chronic medical or urinary tract conditions or are hospitalized or living in institutions such as nursing

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: US Preventive Services Task Force Recommendation Statement. Full Text available with Trip Pro

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

10. Antibiotics for asymptomatic bacteriuria. (Abstract)

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

2015 Cochrane

11. Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods

Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods 1 Translation of the executive summary of the final report Screening auf asymptomatische Bakteriurie im Rahmen der Mutterschafts-Richtlinien unter besonderer Berücksichtigung der Testmethoden (Version 1.0; Status: 19 February 2015). Please note: This translation is provided as a service by IQWiG to English-language readers. However, solely the German (...) original text is absolutely authoritative and legally binding. Executive Summary IQWiG Reports – Commission No. S13-02 Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods 1 Executive summary of final report S13-02 Version 1.0 Screening for asymptomatic bacteriuria in pregnant women 19 February 2015 Institute for Quality and Efficiency in Health Care (IQWiG) - i - Publishing details Publisher: Institute for Quality

2015 Institute for Quality and Efficiency in Healthcare (IQWiG)

12. Recommendations on screening for asymptomatic bacteriuria in pregnancy Full Text available with Trip Pro

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

2018 EvidenceUpdates

13. [Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods]

[Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods] Screening auf asymptomatische bakteriurie im rahmen der mutterschafts-richtlinien unter besonderer berücksichtigung der testmethoden [Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods] Screening auf asymptomatische bakteriurie im rahmen der mutterschafts-richtlinien (...) unter besonderer berücksichtigung der testmethoden [Screening for asymptomatic bacteriuria within the framework of the German maternity guidelines, under special consideration of test methods] IQWiG Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation IQWiG. Screening auf asymptomatische bakteriurie im rahmen der mutterschafts-richtlinien unter

2015 Health Technology Assessment (HTA) Database.

14. Asymptomatic bacteriuria in pregnant women attending Boo-Ali Hospital Tehran Iran: Urine analysis vs. urine culture Full Text available with Trip Pro

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

2017 Electronic physician

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

[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 Controlled trial quality: uncertain

16. Asymptomatic bacteriuria in older adults: the most fragile women are prone to long-term colonization. Full Text available with Trip Pro

Asymptomatic bacteriuria in older adults: the most fragile women are prone to long-term colonization. The diagnosis of urinary tract infections (UTIs) in institutionalized older adults is often based on vague symptoms and a positive culture. The high prevalence of asymptomatic bacteriuria (ABU), which cannot be easily discriminated from an acute infection in this population, is frequently neglected, leading to a vast over-prescription of antibiotics. This study aimed to identify subpopulations

2019 BMC Geriatrics

17. Teamwork and safety climate affect antimicrobial stewardship for asymptomatic bacteriuria. (Abstract)

Teamwork and safety climate affect antimicrobial stewardship for asymptomatic bacteriuria. In preparation for a multisite antibiotic stewardship intervention, we assessed knowledge and attitudes toward management of asymptomatic bacteriuria (ASB) plus teamwork and safety climate among providers, nurses, and clinical nurse assistants (CNAs).Prospective surveys during January-June 2018.All acute and long-term care units of 4 Veterans' Affairs facilities.The survey instrument included 2 previously (...) tested subcomponents: the Kicking CAUTI survey (ASB knowledge and attitudes) and the Safety Attitudes Questionnaire (SAQ).A total of 534 surveys were completed, with an overall response rate of 65%. Cognitive biases impacting management of ASB were identified. For example, providers presented with a case scenario of an asymptomatic patient with a positive urine culture were more likely to give antibiotics if the organism was resistant to antibiotics. Additionally, more than 80% of both nurses

2019 Infection control and hospital epidemiology

18. Risk Factors and Outcomes Associated With Treatment of Asymptomatic Bacteriuria in Hospitalized Patients. (Abstract)

Risk Factors and Outcomes Associated With Treatment of Asymptomatic Bacteriuria in Hospitalized Patients. Treatment of asymptomatic bacteriuria (ASB) with antibiotics is a common factor in inappropriate antibiotic use, but risk factors and outcomes associated with treatment of ASB in hospitalized patients are not well defined.To evaluate factors associated with treatment of ASB among hospitalized patients and the possible association between treatment and clinical outcomes.A retrospective

2019 JAMA Internal Medicine

19. Antibiotic Treatment Versus No Treatment for Asymptomatic Bacteriuria in Kidney Transplant Recipients: A Multicenter Randomized Trial. Full Text available with Trip Pro

Antibiotic Treatment Versus No Treatment for Asymptomatic Bacteriuria in Kidney Transplant Recipients: A Multicenter Randomized Trial. Whether antibiotic treatment of asymptomatic bacteriuria (AB) can prevent acute graft pyelonephritis (AGP) in kidney transplant (KT) recipients has not been elucidated.In this multicenter, open-label, nonblinded, prospective, noninferiority, randomized controlled trial, we compared antibiotic treatment with no treatment for AB in KT recipients in the first year

2019 Open forum infectious diseases Controlled trial quality: predicted high

20. Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of Americaa. Full Text available with Trip Pro

Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of Americaa. Asymptomatic bacteriuria (ASB) is a common finding in many populations, including healthy women and persons with underlying urologic abnormalities. The 2005 guideline from the Infectious Diseases Society of America recommended that ASB should be screened for and treated only in pregnant women or in an individual prior to undergoing invasive urologic procedures

2019 Clinical Infectious Diseases

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