Search Annals: Advanced search

Rapid Responses to:

Clinical Guidelines: Kenneth Lin and Kevin Fajardo Screening for Asymptomatic Bacteriuria in Adults: Evidence for the U.S. Preventive Services Task Force Reaffirmation Recommendation Statement Ann Intern Med 2008; 149: W-20-24W- [Abstract] [Full text] [PDF]

Send comment/rapid response letter

Electronic letters published:

We need a definition of Asymptomatic Bacteriuria.

Marvin E Lauwasser   (1 July 2008)

We need a definition of Asymptomatic Bacteriuria. 1 July 2008
Marvin E Lauwasser, MD Medical College of Wisconsin Send rapid response to journal: Re: We need a definition of Asymptomatic Bacteriuria. vin{at}wi.rr.com Marvin E Lauwasser	I am aware of the rule about only screening pregnant women for bacteriuria but there are situations in the real world that are perhaps on the edge of "asymptomatic" and we need more direction on what to do in those situations, especially in the ED where every other patient is now diagnosed as urosepsis sometimes based on the presence of bacteria in a spun UA. Are these patients asymptomatic? *Nursing home patient with incontinence alone *Elderly patient in the ED with confusion and no urinary symptoms nor fever. *a 30 year old with fever and no urinary symptoms. *anyone in a healthcare encounter with pyuria but no urinary symptoms. *anyone in a healthcare encounter with leukocytosis but no urinary symptoms. .....and the list can be made much longer. Conflict of Interest: no competing interests