Management of Asymptomatic Bacteriuria in Non-Catheterized Adults

Urol Clin North Am. 2024 Nov;51(4):561-570. doi: 10.1016/j.ucl.2024.06.010. Epub 2024 Aug 17.

Abstract

Understanding the management of asymptomatic bacteriuria (ASB) is important given the prevalence of the condition, associated risks in certain patient populations, and the risks associated with inappropriate antibiotic administration. Generally, screening and treatment is only recommended in pregnant women and in those undergoing urologic procedures that will violate the urothelium. Knowing the appropriate time to screen and treat ASB is critical for managing high-risk patients and preventing the growth of antibiotic resistance. Recent research into the protective nature of avirulent strains of Escherichia coli might offer a new approach to management of ASB.

Keywords: Antibiotics; Asymptomatic bacteriuria; Screening; Urinary tract infection.

Publication types

  • Review

MeSH terms

  • Adult
  • Anti-Bacterial Agents* / therapeutic use
  • Asymptomatic Diseases / therapy
  • Asymptomatic Infections* / therapy
  • Bacteriuria* / diagnosis
  • Bacteriuria* / drug therapy
  • Female
  • Humans

Substances

  • Anti-Bacterial Agents