Sendi Parham, Borens Olivier, Wahl Peter, Clauss Martin, Uçkay Ilker
Department of Infectious Diseases, Bern University Hospital, University of Bern.
Institute for Infectious Diseases, University of Bern.
J Bone Jt Infect. 2017 May 25;2(3):154-159. doi: 10.7150/jbji.20425. eCollection 2017.
In this position paper, we review definitions related to this subject and the corresponding literature. Our recommendations include the following statements. Asymptomatic bacteriuria, asymptomatic leukocyturia, urine discolouration, odd smell or positive nitrite sediments are not an indication for antimicrobial treatment. Antimicrobial treatment of asymptomatic bacteriuria does not prevent periprosthetic joint infection, but is associated with adverse events, costs and antibiotic resistance development. Urine analyses or urine cultures in asymptomatic patients undergoing orthopaedic implants should be avoided. Indwelling urinary catheters are the most frequent reason for healthcare-associated urinary tract infections and should be avoided or removed as soon as possible.
在本立场文件中，我们回顾了与该主题相关的定义及相应文献。我们的建议包括以下声明。无症状菌尿、无症状白细胞尿、尿液变色、异味或亚硝酸盐沉积物阳性均非抗菌治疗的指征。无症状菌尿的抗菌治疗不能预防人工关节周围感染，但会带来不良事件、成本及抗生素耐药性的产生。应避免对接受骨科植入物的无症状患者进行尿液分析或尿培养。留置导尿管是医疗相关尿路感染最常见的原因，应尽可能避免使用或尽早拔除。
