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    Home > Active Ingredient News > Urinary System > What is the most appropriate treatment for asymptomatic bacteriuria in patients with long-term indwelling catheterization?

    What is the most appropriate treatment for asymptomatic bacteriuria in patients with long-term indwelling catheterization?

    • Last Update: 2021-08-18
    • Source: Internet
    • Author: User
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    In yesterday’s "Weekly Medical Questions" column, we pushed the latest issue of NEJM Knowledge+ Question of the Week
    .

    【Weekly Doctors】Asymptomatic bacteriuria in patients with long-term indwelling catheterization, what is the most appropriate treatment? Today, we announce the answer
    .

    Do you see the answer? Of course, answering right is not the goal, but mastering the essentials and expanding knowledge is the kingly way
    .

    Answer: No treatment.
    Key learning points: For patients with long-term indwelling catheters, when urine culture shows pan-sensitive E.
    coli >100,000 CFU/mL and there are no symptoms, the best treatment is not to treat
    .

    Knowledge expansion Asymptomatic bacteriuria is seen in almost all patients with long-term indwelling catheters, even if urinalysis shows pyuria, no treatment is needed
    .

    Screening for asymptomatic bacteriuria has not been recommended by the guidelines
    .

    Although bacteriuria increases the risk of symptomatic urinary tract infections, treatment of asymptomatic bacteriuria does not reduce the frequency of future symptomatic urinary tract infections or improve other outcomes
    .

    The only groups that benefit from asymptomatic bacteriuria screening and treatment are pregnant women and patients who receive invasive urinary tract treatment and cause mucosal bleeding
    .

    【Weekly Medical Questions】will continue to be updated
    .

    What do you want to see or learn? Please tell us through the comments and look forward to your precious comments and suggestions
    .

    Reference 1.
    Hooton TM et al.
    Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 international clinical practice guidelines from the Infectious Diseases Society of America.
    Clin Infect Dis 2010 Feb 23; 50: 625.
    2 .
    Nicolle LE et al.
    Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America.
    Clin Infect Dis 2019 May 2; 68:e83.
    Copyright information -Med) and the New England Journal of Medicine (NEJM) jointly created "NEJM Frontiers in Medicine" translation, writing or commissioning
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