User:Mr. Ibrahem/Bacteriuria
| Bacteriuria | |
|---|---|
| Other names | Bacteruria |
 | |
| Multiple rod-shaped bacteria shown between the larger white blood cells at urinary microscopy from a person with urinary tract infection. | |
| Specialty | Emergency medicine, infectious disease |
| Types | Asymptomatic, symptomatic[1][2] |
| Diagnostic method | Urinalysis, urine culture[3] |
| Differential diagnosis | Contamination[1] |
| Treatment | Based on symptoms or risk factors[3][4] |
| Frequency | Asymptomatic: 3% (middle aged women), up to 50% (women in nursing homes)[5] Symptomatic: up to 10% of women a year[6][7] |
Bacteriuria is the presence of bacteria in urine.[1] Bacteriuria accompanied by symptoms is a urinary tract infection while that without is known as asymptomatic bacteriuria.[1][2] Diagnosis is by urinalysis or urine culture.[3] Escherichia coli is the most common bacterium found.[1] People without symptoms should generally not be tested for the condition.[3] Differential diagnosis include contamination.[1]
If symptoms are present treatment is generally with antibiotics.[3] Bacteriuria without symptoms generally does not require treatment.[4] Exceptions may include pregnant women, those who have had a recent kidney transplant, young children with significant vesicoureteral reflux, and those undergoing surgery of the urinary tract.[3][4]
Bacteriuria without symptoms is present in about 3% of otherwise healthy middle aged women.[5] In nursing homes rates are as high as 50% among women and 40% in men.[5] In those with a long term indwelling urinary catheter rates are 100%.[5] Up to 10% of women have a urinary tract infection in a given year and half of all women have at least one infection at some point in their lives.[6][7]
References[edit]
- ^ a b c d e f Das, K. V. Krishna; Das, KV Krishna (2017). Textbook of Medicine: Two Volume Set. JP Medical Ltd. p. 1250. ISBN 9789386056108. Archived from the original on 9 January 2020. Retrieved 12 December 2017.
- ^ a b Sendi, P; Borens, O; Wahl, P; Clauss, M; Uçkay, I (2017). "Management of Asymptomatic Bacteriuria, Urinary Catheters and Symptomatic Urinary Tract Infections in Patients Undergoing Surgery for Joint Replacement: A Position Paper of the Expert Group". Journal of Bone and Joint Infection. 2 (3): 154–159. doi:10.7150/jbji.20425. PMC 5592375. PMID 28894690.
- ^ a b c d e f "Bacterial Urinary Tract Infections (UTIs)". Merck Manuals Professional Edition. May 2016. Archived from the original on 7 January 2019. Retrieved 12 December 2017.
- ^ a b c Köves, B; Cai, T; Veeratterapillay, R; Pickard, R; Seisen, T; Lam, TB; Yuan, CY; Bruyere, F; Wagenlehner, F; Bartoletti, R; Geerlings, SE; Pilatz, A; Pradere, B; Hofmann, F; Bonkat, G; Wullt, B (25 July 2017). "Benefits and Harms of Treatment of Asymptomatic Bacteriuria: A Systematic Review and Meta-analysis by the European Association of Urology Urological Infection Guidelines Panel". European Urology. 72 (6): 865–868. doi:10.1016/j.eururo.2017.07.014. PMID 28754533.
- ^ a b c d Colgan, R; Nicolle, LE; McGlone, A; Hooton, TM (15 September 2006). "Asymptomatic bacteriuria in adults". American Family Physician. 74 (6): 985–90. PMID 17002033.
- ^ a b Salvatore S, Salvatore S, Cattoni E, Siesto G, Serati M, Sorice P, Torella M (June 2011). "Urinary tract infections in women". European Journal of Obstetrics, Gynecology, and Reproductive Biology. 156 (2): 131–6. doi:10.1016/j.ejogrb.2011.01.028. PMID 21349630.
- ^ a b Nicolle LE (2008). "Uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis". Urol Clin North Am. 35 (1): 1–12, v. doi:10.1016/j.ucl.2007.09.004. PMID 18061019.