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Asymptomatic Bacteriuria: Should You Be Concerned?
Published: Sep 06, 2024
Asymptomatic bacteriuria means having bacteria in the urine without any symptoms of a urinary tract infection. It's more common than you might think, especially in older adults, but is it a cause for concern?
Understanding Asymptomatic Bacteriuria
Asymptomatic bacteriuria is when bacteria are present in the urine but there are no symptoms of a urinary tract infection (UTI). This condition is common in older adults, especially those in hospitals or long-term care facilities, but most people do not need treatment. Misdiagnosing this condition as a UTI can lead to unnecessary antibiotic use, which can cause more harm than good.
Who Needs to Be Screened?
Screening for asymptomatic bacteriuria is not recommended for most people, including nonpregnant adults, older adults, and those with diabetes. However, screening is important for pregnant women and people undergoing certain urologic procedures. These groups are at higher risk for complications if asymptomatic bacteriuria is left untreated.
Why Not Treat Everyone?
Treating asymptomatic bacteriuria in people who don't need it can lead to antibiotic resistance and other health problems. Studies show that treatment does not reduce the risk of developing a UTI later on and can sometimes make things worse. Therefore, it's crucial to avoid unnecessary treatments and focus on those who truly need it.
Frequently Asked Questions
It is when bacteria are present in urine without UTI symptoms.
Pregnant women and people undergoing urologic procedures.
Treatment can lead to antibiotic resistance and doesn't reduce future UTI risk.
Wrapping Up
Understanding when and whom to screen for asymptomatic bacteriuria is key to preventing unnecessary treatments.
References
- Nicolle LE, Gupta K, Bradley SF, et al. Clin Infect Dis 2019; 68:e83.
- Goetz LL, Cardenas DD, Kennelly M, et al. Spinal Cord 2013; 51:700.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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