Asymptomatic Bacteriua

Pregnant women are now the only group that should be routinely screened and treated for asymptomatic bacteriuria. There are multiple guidelines recommending screening of this group of patients. Screening should occur between 12 and 16 weeks’ gestation. The incidence is approximately 5–10% of pregnant women. There are numerous studies showing an association between asymptomatic bacteriuria and premature birth, low birth weight, and a high incidence of pyelonephritis. In the United States, screening is usually done by urine culture because dipstick screening can miss patients without pyuria or with unusual organisms.1

 

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