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When should asymotomatic bacteriuria be treated ?

Answer

Asymptomatic bacteriuria (ASB) is generally not recommended for treatment due to the lack of benefit and potential for harm, such as antibiotic resistance and adverse drug reactions. However, there are specific populations where treatment is indicated:

Pregnant patients

Patients undergoing urologic procedures

Patients undergoing spinal surgery

Patients with a renal transplant

Duration of treatment

  • For the eradication of bacteriuria, the SEIMC 2017 guidelines recommend administering standard 4- to 7-day treatment regimens or a single 3 g dose of fosfomycin tromethamine as an alternative over short one-day treatments

In conclusion, while ASB is generally not recommended for treatment, there are specific populations where treatment is indicated, including pregnant patients, patients undergoing certain urologic or spinal surgeries, and renal transplant recipients. The duration of treatment typically ranges from a single dose to a 4- to 7-day regimen.

References

1

Asymptomatic bacteriuria

Medical management

Guidelines

Duration of treatment

Pathway
SEIMC 2017