Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America

Lindsay E. Nicolle, Kalpana Gupta, Suzanne F. Bradley, Richard Colgan, Gregory P. DeMuri, Dimitri Drekonja, Linda O. Eckert, Suzanne E. Geerlings, Béla Köves, Thomas M. Hooton, Manisha Juthani-Mehta, Shandra L. Knight, Sanjay Saint, Anthony J. Schaeffer, Barbara Trautner, Bjorn Wullt, Reed Siemieniuk

Research output: Contribution to journalReview article

62 Scopus citations

Abstract

Asymptomatic bacteriuria (ASB) is a common finding in many populations, including healthy women and persons with underlying urologic abnormalities. The 2005 guideline from the Infectious Diseases Society of America recommended that ASB should be screened for and treated only in pregnant women or in an individual prior to undergoing invasive urologic procedures. Treatment was not recommended for healthy women; older women or men; or persons with diabetes, indwelling catheters, or spinal cord injury. The guideline did not address children and some adult populations, including patients with neutropenia, solid organ transplants, and nonurologic surgery. In the years since the publication of the guideline, further information relevant to ASB has become available. In addition, antimicrobial treatment of ASB has been recognized as an important contributor to inappropriate antimicrobial use, which promotes emergence of antimicrobial resistance. The current guideline updates the recommendations of the 2005 guideline, includes new recommendations for populations not previously addressed, and, where relevant, addresses the interpretation of nonlocalizing clinical symptoms in populations with a high prevalence of ASB.

Original languageEnglish (US)
Pages (from-to)E83-E75
JournalClinical Infectious Diseases
Volume68
Issue number10
DOIs
StatePublished - May 1 2019

Keywords

  • Asymptomatic bacteriuria
  • Bacteriuria
  • Cystitis
  • Diabetes
  • Endourologic surgery
  • Long-term care
  • Neurogenic bladder
  • Nursing home
  • Older adults
  • Pregnancy
  • Pyelonephritis
  • Renal transplant
  • Spinal cord injury
  • Urinary catheter
  • Urinary tract infection
  • Urologic devices

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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  • Cite this

    Nicolle, L. E., Gupta, K., Bradley, S. F., Colgan, R., DeMuri, G. P., Drekonja, D., Eckert, L. O., Geerlings, S. E., Köves, B., Hooton, T. M., Juthani-Mehta, M., Knight, S. L., Saint, S., Schaeffer, A. J., Trautner, B., Wullt, B., & Siemieniuk, R. (2019). Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 68(10), E83-E75. https://doi.org/10.1093/cid/ciy1121