无症状菌尿：治疗还是不治疗。支持治疗。

Asymptomatic Bacteriuria: To Treat or Not To Treat. Pro Treatment.

机构信息

Department of Urology, South-Pest Teaching Hospital, Budapest, Hungary.

出版信息

Eur Urol Focus. 2019 Jan;5(1):13-14. doi: 10.1016/j.euf.2018.05.008. Epub 2018 Jun 15.

DOI:10.1016/j.euf.2018.05.008

Abstract

Asymptomatic bacteriuria (ABU) should be treated only in pregnant women and before urological procedures that breach the mucosa. In all other clinical settings, treatment of ABU is not beneficial and only contributes to antibiotic-associated morbidity and the selection of antibiotic resistance; therefore, screening and treatment are not recommended.

摘要

无症状性菌尿（ABU）仅应在孕妇中以及在破坏黏膜的泌尿科操作之前进行治疗。在所有其他临床情况下，ABU 的治疗无益，只会导致与抗生素相关的发病率和抗生素耐药性的选择；因此，不建议进行筛查和治疗。