Pyelonephritis Screening: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pyelonephritis}} | {{Pyelonephritis}} | ||
{{CMG}} {{AE}} {{USAMA}} | |||
==Overview== | ==Overview== | ||
Pyelonephritis is | Screening is not done for Pyelonephritis in normal population. Though Pregnancy is an indication for screening for the presence of bacteria in the urine and this may require treatment as an aggressive approach because of the associated higher chance of developing pyelonephritis and other complications unlike other settings where bacteria are found in the urine of an asymptomatic, non-pregnant woman. Urologic surgery and research are other indications for screening patients for asymptomatic bacteriuria.<ref name="pmid26475951">{{cite journal| author=Glaser AP, Schaeffer AJ| title=Urinary Tract Infection and Bacteriuria in Pregnancy. | journal=Urol Clin North Am | year= 2015 | volume= 42 | issue= 4 | pages= 547-60 | pmid=26475951 | doi=10.1016/j.ucl.2015.05.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26475951 }} </ref> | ||
==Screening== | ==Screening== | ||
Screening is recommended to detect bacterial presence in the urine of pregnant women. Presence of bacteria in the urine in pregnancy has significance in that it is always treated unlike asymptomatic non-pregnant population and that the choice of treatment should not have adverse effects on the foetus or the mother. Urine Culture is done to screen this population for bacterial presence.<ref name="pmid26475951">{{cite journal| author=Glaser AP, Schaeffer AJ| title=Urinary Tract Infection and Bacteriuria in Pregnancy. | journal=Urol Clin North Am | year= 2015 | volume= 42 | issue= 4 | pages= 547-60 | pmid=26475951 | doi=10.1016/j.ucl.2015.05.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26475951 }} </ref><ref name="pmid25861291">{{cite journal| author=Matuszkiewicz-Rowińska J, Małyszko J, Wieliczko M| title=Urinary tract infections in pregnancy: old and new unresolved diagnostic and therapeutic problems. | journal=Arch Med Sci | year= 2015 | volume= 11 | issue= 1 | pages= 67-77 | pmid=25861291 | doi=10.5114/aoms.2013.39202 | pmc=4379362 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25861291 }} </ref> | |||
*Asymptomatic bacteriuria is only screened for in the following circumstances:<ref name="pmid15714408">{{cite journal| author=Nicolle LE, Bradley S, Colgan R, Rice JC, Schaeffer A, Hooton TM et al.| title=Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. | journal=Clin Infect Dis | year= 2005 | volume= 40 | issue= 5 | pages= 643-54 | pmid=15714408 | doi=10.1086/427507 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15714408 }} </ref> | |||
**Pregnancy | |||
**Before urologic surgery | |||
**Research purposes | |||
==References== | ==References== | ||
{{ | |||
{{reflist|2}} | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 17:21, 27 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
Overview
Screening is not done for Pyelonephritis in normal population. Though Pregnancy is an indication for screening for the presence of bacteria in the urine and this may require treatment as an aggressive approach because of the associated higher chance of developing pyelonephritis and other complications unlike other settings where bacteria are found in the urine of an asymptomatic, non-pregnant woman. Urologic surgery and research are other indications for screening patients for asymptomatic bacteriuria.[1]
Screening
Screening is recommended to detect bacterial presence in the urine of pregnant women. Presence of bacteria in the urine in pregnancy has significance in that it is always treated unlike asymptomatic non-pregnant population and that the choice of treatment should not have adverse effects on the foetus or the mother. Urine Culture is done to screen this population for bacterial presence.[1][2]
- Asymptomatic bacteriuria is only screened for in the following circumstances:[3]
- Pregnancy
- Before urologic surgery
- Research purposes
References
- ↑ 1.0 1.1 Glaser AP, Schaeffer AJ (2015). "Urinary Tract Infection and Bacteriuria in Pregnancy". Urol Clin North Am. 42 (4): 547–60. doi:10.1016/j.ucl.2015.05.004. PMID 26475951.
- ↑ Matuszkiewicz-Rowińska J, Małyszko J, Wieliczko M (2015). "Urinary tract infections in pregnancy: old and new unresolved diagnostic and therapeutic problems". Arch Med Sci. 11 (1): 67–77. doi:10.5114/aoms.2013.39202. PMC 4379362. PMID 25861291.
- ↑ Nicolle LE, Bradley S, Colgan R, Rice JC, Schaeffer A, Hooton TM; et al. (2005). "Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults". Clin Infect Dis. 40 (5): 643–54. doi:10.1086/427507. PMID 15714408.