Infectious Diseases Society of America Guidelines for the Diagnosis and Treatment of Asymptomatic Bacteriuria in Adults

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ID: 291872
2005
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Ranked #280 of 531 articles by views in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

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Abstract
RECOMMENDATIONS1.The diagnosis of asymptomatic bacteriuria should be based on results of culture of a urine specimen collected in a manner that minimizes contamination (A-II) (table 1).• For asymptomatic women, bacteriuria is defined as 2 consecutive voided urine specimens with isolation of the same bacterial strain in quantitative counts у10 5 cfu/mL (B-II).• A single, clean-catch voided urine specimen with 1 bacterial species isolated in a quantitative count у10 5 cfu/mL identifies bacteriuria in men (B-III).• A single catheterized urine specimen with 1 bac- terial species isolated in a quantitative count у10 2 cfu/mL identifies bacteriuria in women or men (A-II).2. Pyuria accompanying asymptomatic bacteriuria is not an indication for antimicrobial treatment (A-II).3. Pregnant women should be screened for bacteriuria by urine culture at least once in early pregnancy, and they should be treated if the results are positive (A-I).• The duration of antimicrobial therapy should be
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Authors Lindsay E. Nicolle, Suzanne Bradley, Richard Colgan, James Rice, Anthony J. Schaeffer, Thomas M. Hooton
Journal Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
Year 2005
DOI
10.1086/427507
URL
https://academic.oup.com/cid/article-pdf/40/5/643/34126289/40-5-643.pdf
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