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Pathogens 2016, 5(1), 4; doi:10.3390/pathogens5010004

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

1
Department of Urology, Santa Chiara Regional Hospital, Largo Medaglie d’Oro 9, 38123 Trento, Italy
2
Sexually Transmitted Disease Centre, Santa Maria Annunziata Hospital, 50012 Florence, Italy
3
Department of Microbiology, Santa Chiara Regional Hospital, 38123 Trento, Italy
4
Department of Laboratory Medicine, Santa Chiara Regional Hospital, 38123 Trento, Italy
5
Division of Pathological Anatomy, Department of Critical Care Medicine and Surgery, University of Florence, 50100 Florence, Italy
6
Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Universitätsklinikum Giessen und Marburg GmbH, Justus-Liebig-Universität Giessen, 35390 Giessen, Germany
7
Department of Urology, South-Pest Hospital, 1051 Budapest, Hungary
8
Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne NE14XE, UK
9
Department of Urology, Skåne University Hospital, University of Lund, S-20502 Malmö, Sweden
10
Department of Urology, Oslo University Hospital, 0271 Oslo, Norway
11
Department of Urology, University of Florence, 50012 Florence, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Catharina Svanborg
Received: 11 September 2015 / Revised: 2 December 2015 / Accepted: 29 December 2015 / Published: 5 January 2016
(This article belongs to the Special Issue Molecular Aspects of Urinary Tract Infection)
View Full-Text   |   Download PDF [168 KB, uploaded 5 January 2016]

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. View Full-Text
Keywords: asymptomatic bacteriuria; antibacterial agents; prophylaxis; pre-operative prophylaxis; antibiotic susceptibility; UTI asymptomatic bacteriuria; antibacterial agents; prophylaxis; pre-operative prophylaxis; antibiotic susceptibility; UTI
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Cai, T.; Mazzoli, S.; Lanzafame, P.; Caciagli, P.; Malossini, G.; Nesi, G.; Wagenlehner, F.M.E.; Köves, B.; Pickard, R.; Grabe, M.; Bjerklund Johansen, T.E.; Bartoletti, R. Asymptomatic Bacteriuria in Clinical Urological Practice: Preoperative Control of Bacteriuria and Management of Recurrent UTI. Pathogens 2016, 5, 4.

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