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Re: We need a definition of Asymptomatic Bacteriuria.
Submit responseI have been doing urinalysis with dipstick at the consultation, since 1966 in all patients with suspected urinary tract infection (in the hospital, in the office or in the ambulatorial patient) five days a week since then. And I "feel" that patients without symptoms but with pyuria and cloudy urine should be treated, since the leucocyte is present and shows that something bad is going on inside the individual and needs to be eliminated. Leucocyte means inflamation in any part of the body, regardless of signs and symptoms. Why let them stay there?
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We need a definition of Asymptomatic Bacteriuria.
Submit responseI 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