Tags

Type your tag names separated by a space and hit enter

Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy.

Abstract

Symptomatic and asymptomatic bacteriuria is common in pregnant women. A history of previous urinary tract infections and low socioeconomic status are risk factors for bacteriuria in pregnancy. Escherichia coli is the most common aetiologic agent in both symptomatic and asymptomatic infection and quantitative culture is the gold standard for diagnosis. Treatment of asymptomatic bacteriuria has been shown to reduce the rate of pyelonephritis in pregnancy and therefore screening for and treatment of asymptomatic bacteriuria has become a standard of obstetrical care. Antibiotic treatment of asymptomatic bacteriuria is associated with a decrease in the incidence of low birth weight, but the methodological quality of the studies limits the strength of the conclusions that can be drawn. Debate exists in the literature as to whether treated pyelonephritis is associated with adverse fetal outcomes. There is no clear consensus in the literature on antibiotic choice or duration of therapy for infection. With increasing antibiotic resistance, consideration of local resistance rates is necessary when choosing therapy.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Obstetrics and Gynecology, Faculty of Health Sciences, McMaster University, Hamilton, Canada.

    Source

    European journal of clinical investigation 38 Suppl 2: 2008 Oct pg 50-7

    MeSH

    Anti-Bacterial Agents
    Anti-Infective Agents, Urinary
    Bacteriuria
    Cystitis
    Female
    Humans
    Pregnancy
    Pregnancy Complications, Infectious
    Urinary Tract Infections

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    18826482

    Citation

    Schnarr, J, and F Smaill. "Asymptomatic Bacteriuria and Symptomatic Urinary Tract Infections in Pregnancy." European Journal of Clinical Investigation, vol. 38 Suppl 2, 2008, pp. 50-7.
    Schnarr J, Smaill F. Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy. Eur J Clin Invest. 2008;38 Suppl 2:50-7.
    Schnarr, J., & Smaill, F. (2008). Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy. European Journal of Clinical Investigation, 38 Suppl 2, pp. 50-7. doi:10.1111/j.1365-2362.2008.02009.x.
    Schnarr J, Smaill F. Asymptomatic Bacteriuria and Symptomatic Urinary Tract Infections in Pregnancy. Eur J Clin Invest. 2008;38 Suppl 2:50-7. PubMed PMID: 18826482.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy. AU - Schnarr,J, AU - Smaill,F, PY - 2008/10/2/pubmed PY - 2008/12/17/medline PY - 2008/10/2/entrez SP - 50 EP - 7 JF - European journal of clinical investigation JO - Eur. J. Clin. Invest. VL - 38 Suppl 2 N2 - Symptomatic and asymptomatic bacteriuria is common in pregnant women. A history of previous urinary tract infections and low socioeconomic status are risk factors for bacteriuria in pregnancy. Escherichia coli is the most common aetiologic agent in both symptomatic and asymptomatic infection and quantitative culture is the gold standard for diagnosis. Treatment of asymptomatic bacteriuria has been shown to reduce the rate of pyelonephritis in pregnancy and therefore screening for and treatment of asymptomatic bacteriuria has become a standard of obstetrical care. Antibiotic treatment of asymptomatic bacteriuria is associated with a decrease in the incidence of low birth weight, but the methodological quality of the studies limits the strength of the conclusions that can be drawn. Debate exists in the literature as to whether treated pyelonephritis is associated with adverse fetal outcomes. There is no clear consensus in the literature on antibiotic choice or duration of therapy for infection. With increasing antibiotic resistance, consideration of local resistance rates is necessary when choosing therapy. SN - 1365-2362 UR - https://www.unboundmedicine.com/medline/citation/18826482/Asymptomatic_bacteriuria_and_symptomatic_urinary_tract_infections_in_pregnancy_ L2 - https://doi.org/10.1111/j.1365-2362.2008.02009.x DB - PRIME DP - Unbound Medicine ER -