Document Detail

Asymptomatic bacteriuria in pregnancy.
MedLine Citation:
PMID:  17347050     Owner:  NLM     Status:  MEDLINE    
Screening for asymptomatic bacteriuria is a standard of obstetrical care and is included in most antenatal guidelines. There is good evidence that treatment of asymptomatic bacteriuria will decrease the incidence of pyelonephritis. All pregnant women should be screened for asymptomatic bacteriuria, and there are no new data that would indicate otherwise. Antibiotic treatment of asymptomatic bacteriuria is associated with a decrease in the incidence of preterm delivery or low birth weight, but the methodological quality of the studies means any conclusion about the strength of this association needs to be drawn cautiously. A better understanding of the mechanism by which treatment of asymptomatic bacteriuria could prevent preterm delivery is needed. While several rapid screening tests have been evaluated, none perform adequately to replace urine culture for detecting asymptomatic bacteriuria. Until there are data from well-designed trials that establish the optimal duration of therapy for asymptomatic bacteriuria, standard treatment courses are recommended.
Fiona Smaill
Publication Detail:
Type:  Journal Article; Review     Date:  2007-03-07
Journal Detail:
Title:  Best practice & research. Clinical obstetrics & gynaecology     Volume:  21     ISSN:  1521-6934     ISO Abbreviation:  Best Pract Res Clin Obstet Gynaecol     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2008-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121582     Medline TA:  Best Pract Res Clin Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  439-50     Citation Subset:  IM    
Department of Pathology and Molecular Medicine, Faculty of Health Sciences, McMaster University, McMaster University Medical Centre, Hamilton, Ontario, Canada. <>
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MeSH Terms
Anti-Bacterial Agents / administration & dosage
Bacteriuria / diagnosis*,  microbiology,  therapy*
Pregnancy Complications, Infectious / diagnosis*,  microbiology,  therapy*
Pregnancy Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents

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