TY - CHAP T1 - Asymptomatic bacteriuria in recurrent UTI – to treat or not to treat T2 - Urogenital Infections and Inflammations AU - Cai, Tommaso AU - Bartoletti, Riccardo ED - Naber, Kurt G. AD - Prof. Tommaso Cai MD, Santa Chiara Regional Hospital, Dept. of Urology, Largo Medaglie d'Oro, 9 - Trento, 38123, Trento, Italy, Phone: +393339864943, E-mail: ktommy@libero.it N2 - 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 to reduce the emergence of multidrug resistant strains. In the clinical setting we have an important issue that requires special attention: the role of ABU in women affected by recurrent urinary tract infections (rUTIs). In everyday clinical practice, young women affected by rUTI show after antibiotic treatment asymptomatic periods associated sometimes with or without bacteriuria. Although it is not recommended, the majority of women with ABU is treated with poor results and occasionally a selection of multidrug-resistant bacteria can be observed. Recent studies demonstrated that ABU should not be treated in young women affected by rUTI, because it may play even a protective role in preventing symptomatic episodes, particularly when Enterococcus faecalis has been isolated. Moreover, ABU treatment is associated with a higher occurrence of antibiotic-resistant bacteria, indicating that ABU treatment in women with rUTIs is even potentially dangerous. PY - 2017 DA - 2017/12/28 DO - 10.5680/lhuii000010 LA - en L1 - https://books.publisso.de/en/system/getFile/18 UR - https://dx.doi.org/10.5680/lhuii000010 L2 - https://dx.doi.org/10.5680/lhuii000010 PB - German Medical Science GMS Publishing House CY - Duesseldorf ER -