Advanced

Asymptomatic Bacteriuria in Clinical Urological Practice: Preoperative Control of Bacteriuria and Management of Recurrent UTI.

Cai, Tommaso; Mazzoli, Sandra; Lanzafame, Paolo; Caciagli, Patrizio; Malossini, Gianni; Nesi, Gabriella; Wagenlehner, Florian M E; Köves, Bela; Pickard, Robert and Grabe, Magnus LU , et al. (2016) In Pathogens (Basel, Switzerland) 5(1).
Abstract
Asymptomatic bacteriuria (ABU) is a common clinical condition that often leads to unnecessary antimicrobial use. The reduction of antibiotic overuse for ABU is consequently an important issue for antimicrobial stewardship and to reduce the emergence of multidrug resistant strains. There are two issues in everyday urological practice that require special attention: the role of ABU in pre-operative prophylaxis and in women affected by recurrent urinary tract infections (rUTIs). Nowadays, this is the time to think over our practice and change our way of thinking. Here, we aimed to summarize the current literature knowledge in terms of ABU management in patients undergoing urological surgery and in patients with rUTIs. In the last years, the... (More)
Asymptomatic bacteriuria (ABU) is a common clinical condition that often leads to unnecessary antimicrobial use. The reduction of antibiotic overuse for ABU is consequently an important issue for antimicrobial stewardship and to reduce the emergence of multidrug resistant strains. There are two issues in everyday urological practice that require special attention: the role of ABU in pre-operative prophylaxis and in women affected by recurrent urinary tract infections (rUTIs). Nowadays, this is the time to think over our practice and change our way of thinking. Here, we aimed to summarize the current literature knowledge in terms of ABU management in patients undergoing urological surgery and in patients with rUTIs. In the last years, the approach to patient with ABU has changed totally. Prior to all surgical procedures that do not enter the urinary tract, ABU is generally not considered as a risk factor, and screening and treatment are not considered necessary. On the other hand, in the case of all procedures entering the urinary tract, ABU should be treated in line with the results of a urine culture obtained before the procedure. In patients affected by rUTIs, ABU can even have a protective role in preventing symptomatic recurrence, particularly when Enterococcus faecalis (E. faecalis) has been isolated. (Less)
Please use this url to cite or link to this publication:
author
, et al. (More)
(Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Pathogens (Basel, Switzerland)
volume
5
issue
1
publisher
MDPI Ag
external identifiers
  • PMID:26742080
  • WOS:000373680700013
ISSN
2076-0817
DOI
10.3390/pathogens5010004
language
English
LU publication?
yes
id
386363a5-c35c-4519-a387-581bbd9b9ea0 (old id 8592809)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26742080?dopt=Abstract
date added to LUP
2016-02-01 21:58:45
date last changed
2016-09-20 03:19:47
@article{386363a5-c35c-4519-a387-581bbd9b9ea0,
  abstract     = {Asymptomatic bacteriuria (ABU) is a common clinical condition that often leads to unnecessary antimicrobial use. The reduction of antibiotic overuse for ABU is consequently an important issue for antimicrobial stewardship and to reduce the emergence of multidrug resistant strains. There are two issues in everyday urological practice that require special attention: the role of ABU in pre-operative prophylaxis and in women affected by recurrent urinary tract infections (rUTIs). Nowadays, this is the time to think over our practice and change our way of thinking. Here, we aimed to summarize the current literature knowledge in terms of ABU management in patients undergoing urological surgery and in patients with rUTIs. In the last years, the approach to patient with ABU has changed totally. Prior to all surgical procedures that do not enter the urinary tract, ABU is generally not considered as a risk factor, and screening and treatment are not considered necessary. On the other hand, in the case of all procedures entering the urinary tract, ABU should be treated in line with the results of a urine culture obtained before the procedure. In patients affected by rUTIs, ABU can even have a protective role in preventing symptomatic recurrence, particularly when Enterococcus faecalis (E. faecalis) has been isolated.},
  author       = {Cai, Tommaso and Mazzoli, Sandra and Lanzafame, Paolo and Caciagli, Patrizio and Malossini, Gianni and Nesi, Gabriella and Wagenlehner, Florian M E and Köves, Bela and Pickard, Robert and Grabe, Magnus and Bjerklund Johansen, Truls E and Bartoletti, Riccardo},
  issn         = {2076-0817},
  language     = {eng},
  number       = {1},
  publisher    = {MDPI Ag},
  series       = {Pathogens (Basel, Switzerland)},
  title        = {Asymptomatic Bacteriuria in Clinical Urological Practice: Preoperative Control of Bacteriuria and Management of Recurrent UTI.},
  url          = {http://dx.doi.org/10.3390/pathogens5010004},
  volume       = {5},
  year         = {2016},
}