Allan Hadeel, Al Quran Thekraiat, Beni Yonis Othman, Alzu'bi Wasan
Public Health Department, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Open Forum Infect Dis. 2025 Jun 16;12(6):ofaf254. doi: 10.1093/ofid/ofaf254. eCollection 2025 Jun.
Asymptomatic bacteriuria (ASB) is the presence of bacteria in urine without symptoms of a urinary tract infection. The management of ASB varies widely among health care providers, particularly in different regional contexts. This study aims to assess guideline adherence for ASB management among physicians in Jordan.
A cross-sectional study was conducted among physicians from various medical specialties in Jordan between January and March 2024. A total of 750 surveys were distributed to participants through email and phone channels, focusing on demographic information, clinical practices, and adherence to available ASB management guidelines. Of these, 418 responses were received, yielding a response rate of 55.7%. The collected data were subsequently compiled and analyzed.
In total, 418 survey responses were analyzed. Participants included general practitioners, urologists, obstetricians/gynecologists, surgeons, internal medicine specialists, family medicine practitioners, and residents. There were significant deviations from recommended guidelines, particularly in antibiotic selection and treatment duration. Ciprofloxacin was the most preferred antibiotic (34.2%), contrary to guidelines recommending nitrofurantoin or trimethoprim-sulfamethoxazole.
The findings highlight the need for improved adherence to ASB management guidelines among Jordanian physicians. Educational interventions and policy implementations are essential to optimize clinical care and reduce antimicrobial resistance.
无症状菌尿（ASB）是指尿液中存在细菌但无尿路感染症状。医疗服务提供者对ASB的管理差异很大，尤其是在不同的地区背景下。本研究旨在评估约旦医生对ASB管理的指南依从性。
2024年1月至3月间，对约旦各医学专科的医生进行了一项横断面研究。通过电子邮件和电话渠道向参与者发放了750份调查问卷，重点关注人口统计学信息、临床实践以及对现有ASB管理指南的依从性。其中，收到了418份回复，回复率为55.7%。随后对收集到的数据进行了整理和分析。
总共分析了418份调查问卷回复。参与者包括全科医生、泌尿科医生（泌尿外科医生）、妇产科医生、外科医生、内科专家、家庭医生以及住院医生。与推荐指南存在显著偏差，尤其是在抗生素选择和治疗持续时间方面。环丙沙星是最常用的抗生素（34.2%），这与推荐使用呋喃妥因或甲氧苄啶-磺胺甲恶唑的指南相悖。
研究结果凸显了约旦医生提高对ASB管理指南依从性的必要性。教育干预和政策实施对于优化临床护理和减少抗菌药物耐药性至关重要。
