diagnósticos errados entre bacteriúria assintomática infantil e real ITU febril sintomática O histórico clínico e o exame físico podem sugerir o diag- nóstico de. Most Asymptomatic Bacteriuria resolves without treatment (including catheterized patients); Infectious Portuguese, Bacteriúria assintomática. Asymptomatic bacteriuria (ASB) is defined as the occurrence of significant .. Lordelo M. Preditores clínicos de bacteriúria assintomática na.

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Cochrane Database of Systematic ReviewsIssue The outcomes of interest were the development of symptomatic urinary tract infection, complications, death, assintomahica events, development of antibiotic resistance, bacteriological cure, and decline in kidney function.

The objective of this Cochrane systematic review was to assess the effectiveness and safety of antibiotic treatment for asymptomatic bacteriuria in adults. Skip to main content.

The benefit of antibiotic treatment for this condition is controversial.

According to the results of the studies included in this revision, authors have concluded that there is no clinical benefit in treating asymptomatic bacteriuria in adults. No decline in kidney function was observed with any one of the treatments. Randomized and quasi-randomized trials comparing antimicrobial therapeutic regimens that differed in duration particularly comparing single dose with longer duration regimens in pregnant women diagnosed with asymptomatic bacteriuria.

Centro Hospitalar Lisboa Norte. You may also want to read Artigo RHL.

Duration of treatment for asymptomatic bacteriuria during pregnancy. Thirteen trials women comparing single-dose treatment with four- and seven-day treatments were included in the review. Randomised controlled trials RCTs and quasirandomised controlled trials comparing antibiotics to placebo or no treatment for asymptomatic bacteriuria in adults were included.


However, this difference was not statistically singnificant and showed high heterogeneity. We will soon update the below RHL summary to reflect the updated findings of the systematic review. Various antimicrobial drugs were used in the trials, e.

When comparing the trials that used the same antibiotic in both treatment and control groups with the trials that used different antibiotics in both groups, the ‘no cure rate’ risk ratio was similar.

To assess the effects of different durations of treatment for asymptomatic bacteriuria in pregnancy. In a comparison that did not reach statistical significance, single-dose regimen for asymptomatic bacteriuria appears to be less assintomatics than four or seven days of treatment. Eleven trials had been conducted in high-resource settings and two in low-resource ones. Slight differences were detected for preterm births and pyelonephritis although, apart from one trial, the sample size of the trials was inadequate.

An updated version of this systematic review has been published and can be found online at www. Single-dose regimen of antibiotics may be less effective than the seven-day regimen. Duration of treatment for asymptomatic bacteriuria during pregnancy 08 setembro Further high-quality studies with bacteriurja used antimicrobial agents for asymptomatic bacteriuria are needed to obtain better evidence.

The ‘no cure rate’ for asymptomatic bacteriuria in pregnant women was slightly higher for the single-dose than for the short-course treatment; however, these results were not statistically significant and showed heterogeneity. All were comparisons of single-dose treatment with four- to seven-day treatments. The trials were generally of limited quality.


Recursos Cochrane Review No. No difference was seen when different drugs were compared. Asymptomatic bacteriuria is frequently detected in women aged up to 60 years, patients with diabetes bacetriuria elderly patients. Women with asymptomatic bacteriuria in pregnancy should be treated by the standard regimen of antibiotics until more data become available testing seven-day compared with three- or five-day regimens.

Single-dose treatment was associated with fewer side-effects.

Asymptomatic Bacteriuria

Nine studies participants were included in this review. We included 13 studies, involving women. The objective of this review was to assess the advantages and disadvantages of treatments of different durations for asymptomatic bacteriuria in pregnancy. Antibiotic aseintomatica was significantly associated with bacteriological cure and an increase in minor adverse events.

Duration of treatment for asymptomatic bacteriuria during pregnancy

There was no statistically significant difference in the recurrence of asymptomatic bacteriuria rate between treatment and control groups. Por que e como?

Single-dose treatment was associated with a decrease in reports bacteeriuria ‘any side-effects’. Findings of the review: However, it is not clear whether single-dose therapy is as effective as longer conventional antibiotic treatment.