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Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy.
Eur J Clin Invest 2008; 38 Suppl 2:50-7EJ

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.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Faculty of Health Sciences, McMaster University, Hamilton, Canada.No affiliation info available

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 -