TY  - CHAP
T1  - Asymptomatic bacteriuria in hospitalized patients
T2  - Urogenital Infections and Inflammations
AU  - Bartoletti, Riccardo
AU  - Cai, Tommaso
AU  - Wagenlehner, Florian M. E.
AU  - Bjerklund Johansen, Truls Erik
ED  - Naber, Kurt G.
AD  - Riccardo Bartoletti, University of Pisa, Department of Translational Research and New Technologies, Via Savi, 10, Pisa, Italy, Phone: -, E-mail: riccardo.bartoletti@hotmail.com
N2  - Asymptomatic Bacteriuria (ABU) in hospitalized patients is a relatively frequent event and is mainly seen in patients with co-morbidities. This chapter incorporates the 2016 Guidelines on Urological Infections of the European Association of Urology and the latest Guideline of the Infectious Diseases Society of America for the management of ABU. A systematic literature search in Medline, Cochrane and Embase was also carried out. The following keywords were used: ABU and hospitalized/inpatients, ABU and elderly institutionalized residents, ABU and diabetes, ABU and urinary stents/catheters, ABU and stones, ABU and surgical procedures, ABU and renal transplantation, ABU and spinal cord injury. A total of 849 publications were identified and screened by title and abstract. 32 papers were included in the review. The host immune response in patients with ABU is less intense than usually found in patients with symptomatic urinary tract infections. ABU is more frequent in patients with dementia and pulmonary diseases, and related to well known risk factors for urinary tract infections such as diabetes, presence of permanent urinary devices, infected stones, spinal cord injury, and renal transplantation. In conclusion, ABU is common in hospitalized patients. Elderly subjects have an increased prevalence of ABU, presumably secondary to concomitant diseases and conditions such as diabetes, urinary retention, urinary incontinence and/or indwelling urinary catheters. In most cases ABU should not be treated with antibiotics. According to the principles of antibiotic stewardship alternative therapeutic approaches should be adopted in hospitalized patients with ABU. 
PY  - 2019
DA  - 2019/02/13
DO  - 10.5680/lhuii000034
LA  - en
L1  - https://books.publisso.de/en/system/getFile/204
UR  - https://dx.doi.org/10.5680/lhuii000034
L2  - https://dx.doi.org/10.5680/lhuii000034
PB  - German Medical Science GMS Publishing House
CY  - Berlin
ER  -