- A 2019 update to the Infectious Diseases Society’s clinical practice guideline for managing asymptomatic bacteriuria (ASB) contains new recommendations for both children and more adult populations.
Why this matters
- The researchers say that since publication of the 2005 version, antimicrobial stewardship programs have identified nontreatment of ASB as a path to decreasing inappropriate antimicrobial use.
- The updated guideline recommends against ASB screening and treatment for the following groups:
- infants and children,
- healthy premenopausal, nonpregnant women, or healthy postmenopausal women,
- older, community-dwelling persons who are functionally impaired,
- older persons residing in long-term care facilities,
- patients with diabetes,
- patients who have had renal transplant surgery >1 month prior,
- patients with nonrenal solid organ transplant,
- patients with spinal cord injury,
- patients with a short-term indwelling urethral catheter (
- patients with long-term indwelling catheters,
- patients undergoing elective nonurologic surgery,
- patients planning to undergo surgery for an artificial urine sphincter or penile prosthesis implantation, and
- patients living with implanted urologic devices.
- Patients who should be screened and treated include:
- pregnant women, and
- patients who will undergo endoscopic urologic procedures.
- The guideline makes no recommendation for patients with high-risk neutropenia or patients with indwelling catheters at the time of catheter removal.