Medindia
Advertisement

Bacteria in Urine Doesn't Always Mean You Have an Infection

by Adeline Dorcas on March 22, 2019 at 12:24 PM

Bacteria in Urine Doesn't Always Mean You Have an Infection
The presence of bacteria in urine may not always be a sign for urinary tract infection (UTI), reports a new study. The findings of the study are published in the journal Clinical Infectious Diseases.

Doctors should think carefully before testing patients for a urinary tract infection (UTI) to avoid over-diagnosis and unnecessary antibiotic treatment, according to updated asymptomatic bacteriuria (ASB) guidelines released by the Infectious Diseases Society of America (IDSA).
Advertisement


Asymptomatic bacteriuria (ASB) - the presence of bacteria in the urine without the symptoms of an infection - is quite common and has been identified as a contributor to antibiotic misuse, which promotes resistance. While the updated guidelines follow previous recommendations to avoid testing certain groups of patients who don't have symptoms (called screening) - including healthy non-pregnant women, the elderly, people with diabetes and those with spinal cord injuries - they also include groups that weren't previously addressed, such as infants and children, people who have had joint replacement or other non-urologic surgery and those who have had organ transplants.

"Screening these patients is far too common and leads to the inappropriate prescribing of antibiotics, which some studies suggest may actually increase the risk of a UTI, as well as contribute to other serious infections such as Clostridioides difficile," said Lindsay E. Nicolle, MD, FIDSA, chair of the committee that developed the guidelines and professor emeritus at the Rady Faculty of Health Sciences at the University of Manitoba, Winnipeg.
Advertisement

"Generally, physicians should not obtain urine cultures unless patients have symptoms consistent with an infection, such as burning during urination, frequent urination or abdominal pain or tenderness on the back near the lower ribs."

Some symptoms that people assume indicate a UTI - such as urine odor and confusion in the elderly - are usually caused by other conditions that should be ruled out before testing, Dr. Nicolle said.

About 3 to 7 percent of healthy women have ASB at any given time, especially those who are sexually active, she said. About 50 percent of people with spinal injuries and 30 to 50 percent of people in nursing homes have ASB.

The updated guidelines follow previous guideline recommendations to screen and treat only patients who are at risk of developing complications of ASB, including pregnant women and those undergoing endoscopic urologic procedures.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Stroop Effect
Plant-Based Diet may Reduce the Risk of COVID-19
Lower Respiratory Tract Infections Linked to Obstructive Sleep Apnea in Children
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Shigellosis Urinary Stones In Children Vesico-Ureteric Reflux Causing UTI in Children Diet for Kidney stones Flu MRSA - The Super Bug Anal Warts Food Safety for Health Antibiotics 

Recommended Reading
Bacteria in Urine Could Contribute to Overactive Bladder in Some Women
Research presented at the annual meeting of the American Society for Microbiology suggests that ......
Urinary Tract Infection
Urinary tract infection (UTI) is a bacterial infection which can happen anywhere along the urinary ....
Urinary Tract Infection During Pregnancy
Urinary tract infections are caused mainly by E.coli and can occur during pregnancy. If not t...
New Test for Urinary Tract Infection Detects More Bacteria Than Standard Test
Enhanced quantitative urine culture detects more types of bacteria that causes urinary tract ......
Anal Warts
Anal warts or genital warts are soft bumps caused by Human Papilloma Virus and are a sexually transm...
Antibiotics
Antibiotics are among the most used and abused medications. This article explains some general featu...
Diet for Kidney stones
Diet for kidney stone should comprise of calcium-rich foods, increased fluid intake. Other dietary r...
MRSA - The Super Bug
MRSA infection is the most dreaded hospital or community acquired infection that can become ......
Shigellosis
Shigellosis or Bacillary Dysentery is a common cause of gastro-enteritis worldwide and can cause blo...
Urinary Stones In Children
There is a wide misconception that only adults develop stones. On the contrary kidney stones are ver...
Vesico-Ureteric Reflux Causing UTI in Children
Bacterial infection of urinary bladder can cause pain and burning sensation while passing urine. Abn...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use