Asymptomatic bacteriuria in recurrent UTI – to treat or not to treat
Asymptomatic bacteriuria (ABU) is a common clinical condition that often leads to unnecessary antimicrobial use. The reduction of antibiotic overuse for ABU is consequently an important issue for antimicrobial stewardship to reduce the emergence of multidrug resistant strains. In the clinical settin...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
German Medical Science GMS Publishing House
2017-12-01
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| Series: | GMS Infectious Diseases |
| Online Access: | http://www.egms.de/static/en/journals/id/2017-5/id000035.shtml |
| _version_ | 1818206459190575104 |
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| author | Cai, Tommaso Bartoletti, Riccardo |
| author_facet | Cai, Tommaso Bartoletti, Riccardo |
| author_sort | Cai, Tommaso |
| collection | DOAJ |
| description | Asymptomatic bacteriuria (ABU) is a common clinical condition that often leads to unnecessary antimicrobial use. The reduction of antibiotic overuse for ABU is consequently an important issue for antimicrobial stewardship to reduce the emergence of multidrug resistant strains. In the clinical setting we have an important issue that requires special attention: the role of ABU in women affected by recurrent urinary tract infections (rUTIs). In everyday clinical practice, young women affected by rUTI show after antibiotic treatment asymptomatic periods associated sometimes with or without bacteriuria. Although it is not recommended, the majority of women with ABU is treated with poor results and occasionally a selection of multidrug-resistant bacteria can be observed. Recent studies demonstrated that ABU should not be treated in young women affected by rUTI, because it may play even a protective role in preventing symptomatic episodes, particularly when Enterococcus faecalis has been isolated. Moreover, ABU treatment is associated with a higher occurrence of antibiotic-resistant bacteria, indicating that ABU treatment in women with rUTIs is even potentially dangerous. |
| first_indexed | 2024-12-12T04:13:22Z |
| format | Article |
| id | doaj.art-f2dae58e8e47455bbaba65a86b972d15 |
| institution | Directory Open Access Journal |
| issn | 2195-8831 |
| language | English |
| last_indexed | 2024-12-12T04:13:22Z |
| publishDate | 2017-12-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Infectious Diseases |
| spelling | doaj.art-f2dae58e8e47455bbaba65a86b972d152022-12-22T00:38:34ZengGerman Medical Science GMS Publishing HouseGMS Infectious Diseases2195-88312017-12-015Doc0910.3205/id000035Asymptomatic bacteriuria in recurrent UTI – to treat or not to treatCai, Tommaso0Bartoletti, Riccardo1Department of Urology, Santa Chiara Regional Hospital, Trento, ItalyDepartment of Translational Research and New Technologies, University of Pisa, ItalyAsymptomatic bacteriuria (ABU) is a common clinical condition that often leads to unnecessary antimicrobial use. The reduction of antibiotic overuse for ABU is consequently an important issue for antimicrobial stewardship to reduce the emergence of multidrug resistant strains. In the clinical setting we have an important issue that requires special attention: the role of ABU in women affected by recurrent urinary tract infections (rUTIs). In everyday clinical practice, young women affected by rUTI show after antibiotic treatment asymptomatic periods associated sometimes with or without bacteriuria. Although it is not recommended, the majority of women with ABU is treated with poor results and occasionally a selection of multidrug-resistant bacteria can be observed. Recent studies demonstrated that ABU should not be treated in young women affected by rUTI, because it may play even a protective role in preventing symptomatic episodes, particularly when Enterococcus faecalis has been isolated. Moreover, ABU treatment is associated with a higher occurrence of antibiotic-resistant bacteria, indicating that ABU treatment in women with rUTIs is even potentially dangerous.http://www.egms.de/static/en/journals/id/2017-5/id000035.shtml |
| spellingShingle | Cai, Tommaso Bartoletti, Riccardo Asymptomatic bacteriuria in recurrent UTI – to treat or not to treat GMS Infectious Diseases |
| title | Asymptomatic bacteriuria in recurrent UTI – to treat or not to treat |
| title_full | Asymptomatic bacteriuria in recurrent UTI – to treat or not to treat |
| title_fullStr | Asymptomatic bacteriuria in recurrent UTI – to treat or not to treat |
| title_full_unstemmed | Asymptomatic bacteriuria in recurrent UTI – to treat or not to treat |
| title_short | Asymptomatic bacteriuria in recurrent UTI – to treat or not to treat |
| title_sort | asymptomatic bacteriuria in recurrent uti to treat or not to treat |
| url | http://www.egms.de/static/en/journals/id/2017-5/id000035.shtml |
| work_keys_str_mv | AT caitommaso asymptomaticbacteriuriainrecurrentutitotreatornottotreat AT bartolettiriccardo asymptomaticbacteriuriainrecurrentutitotreatornottotreat |