diagnósticos errados entre bacteriúria assintomática infantil e real ITU febril sintomática O histórico clínico e o exame físico podem sugerir o diag- nóstico de. Most Asymptomatic Bacteriuria resolves without treatment (including catheterized patients); Infectious Portuguese, Bacteriúria assintomática. Asymptomatic bacteriuria (ASB) is defined as the occurrence of significant .. Lordelo M. Preditores clínicos de bacteriúria assintomática na.

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The outcomes of interest were the development of bcteriuria urinary tract infection, complications, death, adverse events, development of antibiotic resistance, bacteriological cure, and decline in kidney function. Women with asymptomatic bacteriuria in pregnancy should be treated by the standard regimen of antibiotics until more data become available testing seven-day compared with three- or five-day regimens.

Single-dose regimen of antibiotics may be less effective than the seven-day regimen. Randomized and quasi-randomized trials comparing antimicrobial therapeutic regimens that differed in duration particularly comparing single dose with longer duration regimens in pregnant women diagnosed with asymptomatic bacteriuria. No difference was seen when different drugs were compared. Asymptomatic bacteriuria is frequently detected in women aged up to 60 years, patients hacteriuria diabetes and elderly patients.

Single-dose treatment bacterouria associated with a decrease in reports of ‘any side-effects’. A Cochrane systematic review has shown that drug treatment of asymptomatic bacteriuria in pregnant women substantially decreases the risk of pyelonephritis and reduces the risk of preterm delivery.


No decline in kidney function bafteriuria observed with any one of the treatments. We will soon update the below RHL summary to reflect the updated findings of the systematic review. There was no statistically significant difference in the recurrence of asymptomatic bacteriuria rate between treatment and control groups. Nine studies participants were included in this review.


Cochrane Database of Systematic ReviewsIssue The benefit of antibiotic treatment for this condition is controversial. You may also want to read Artigo RHL. Duration of treatment for asymptomatic bacteriuria during pregnancy 08 setembro According to the results of the studies included in this revision, authors have concluded that there is no clinical benefit in treating asymptomatic bacteriuria in adults.

Centro Hospitalar Lisboa Bacteruria.

A systematic review of the literature up to 24 February was performed using the Cochrane Renal Group’s Specialised Register. Duration of treatment for asymptomatic bacteriuria during pregnancy.

[Bacteriuria. Cochrane Database Syst Rev. ;4:CD]

To assess the effects of different durations of treatment for asymptomatic bacteriuria in pregnancy. The assnitomatica of symptomatic urinary tract infection, complications or death was similar between groups.

Eleven trials had been conducted in high-resource settings and two in low-resource ones. Various antimicrobial drugs were used in the trials, e.

Duration of treatment for asymptomatic bacteriuria during pregnancy | RHL

In a comparison that did not reach bacteriuira significance, single-dose regimen for asymptomatic bacteriuria appears to be less effective than four or seven days of treatment. However, this difference was not statistically singnificant and showed high heterogeneity. An updated version of this systematic review has been published and can be found online at www. When comparing the trials that used the same antibiotic in both treatment and control groups with the trials that used different antibiotics in both groups, the ‘no cure rate’ risk ratio was similar.


Antibiotic use was significantly associated with bacteriological cure and an increase in minor adverse events.

[Bacteriuria. Cochrane Database Syst Rev. 2015;4:CD009534.]

The rate of recurrence of asymptomatic bacteriuria was similar between different regimens used. Findings of the review: Thirteen trials women comparing single-dose treatment with four- and seven-day treatments were included in the review.

All were comparisons of single-dose treatment with four- to seven-day treatments.

Skip to main content. Further high-quality studies with commonly used antimicrobial agents for asymptomatic bacteriuria are needed to obtain better evidence. Randomised controlled trials RCTs and quasirandomised controlled trials comparing antibiotics to placebo or no treatment for asymptomatic bacteriuria in adults were included. We included 13 studies, involving women.