Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America.
Lindsay E. Nicolle,Kalpana Gupta,Suzanne F. Bradley,Richard Colgan,Gregory P. DeMuri,Dimitri Drekonja,Linda O. Eckert,Suzanne E. Geerlings,Béla Köves,Thomas M. Hooton,Manisha Juthani-Mehta,Shandra L Knight,Sanjay Saint,Anthony J. Schaeffer,Barbara W. Trautner,Björn Wullt,Reed A C Siemieniuk +16 more
TLDR
The current guideline updates the recommendations of the 2005 guideline, includes new recommendations for populations not previously addressed, and, where relevant, addresses the interpretation of nonlocalizing clinical symptoms in populations with a high prevalence of ASB.Abstract:
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. Treatment was not recommended for healthy women; older women or men; or persons with diabetes, indwelling catheters, or spinal cord injury. The guideline did not address children and some adult populations, including patients with neutropenia, solid organ transplants, and nonurologic surgery. In the years since the publication of the guideline, further information relevant to ASB has become available. In addition, antimicrobial treatment of ASB has been recognized as an important contributor to inappropriate antimicrobial use, which promotes emergence of antimicrobial resistance. The current guideline updates the recommendations of the 2005 guideline, includes new recommendations for populations not previously addressed, and, where relevant, addresses the interpretation of nonlocalizing clinical symptoms in populations with a high prevalence of ASB.read more
Citations
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Bacteriuria in the cath-eterized patient: What quantitative level of bacteriuria is relevant?
R. P. Stark,D. G. Maki +1 more
TL;DR: The urinary tract of catheterized patients is highly susceptible to infection once small numbers of microorganisms gain access and that a concentration considerably below 10(5) organisms per milliliter may be clinically and epidemiologically important in this setting.
Journal ArticleDOI
Risk Factors and Outcomes Associated with Treatment of Asymptomatic Bacteriuria in Hospitalized Patients
Lindsay A Petty,Valerie M. Vaughn,Scott A. Flanders,Anurag N. Malani,Anna Conlon,Keith S Kaye,Rama Thyagarajan,Danielle Osterholzer,Daniel Nielsen,Gregory A. Eschenauer,Sarah Bloemers,Elizabeth McLaughlin,Tejal N Gandhi +12 more
TL;DR: Antibiotic treatment did not appear to be associated with improved outcomes; rather, treatment was associated with longer duration of hospitalization after urine testing, and stewardship efforts should focus on improving urine testing practices and management strategies for elderly patients with altered mental status.
Journal ArticleDOI
Cephalosporins: A Focus on Side Chains and β-Lactam Cross-Reactivity.
TL;DR: Clinicians should consider the low likelihood of true cephalosporin allergy when clinically indicated and be cognizant of R1 side chain similarities when prescribing alternate β-lactams in allergic individuals or when new cep Khalosporins are brought to market.
References
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Gordon H. Guyatt,Andrew D Oxman,Gunn Elisabeth Vist,Regina Kunz,Yngve Falck-Ytter,Pablo Alonso-Coello,Holger J. Schünemann +6 more
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TL;DR: Guideline developers use a bewildering variety of systems to rate the quality of the evidence underlying their recommendations as mentioned in this paper, some are facile, some confused, and others sophisticated but complex.
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International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases
Kalpana Gupta,Thomas M. Hooton,Kurt G. Naber,Richard Colgan,Loren G. Miller,Gregory J. Moran,Lindsay E. Nicolle,Raul Raz,Anthony J. Schaeffer,David E. Soper,Miami Florida +10 more
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