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https://www.readbyqxmd.com/read/29447722/no-276-management-of-group-b-streptococcal-bacteriuria-in-pregnancy
#1
Victoria M Allen, Mark H Yudin
OBJECTIVE: To provide information regarding the management of group B streptococcal (GBS) bacteriuria to midwives, nurses, and physicians who are providing obstetrical care. OUTCOMES: The outcomes considered were neonatal GBS disease, preterm birth, pyelonephritis, chorioamnionitis, and recurrence of GBS colonization. EVIDENCE: Medline, PubMed, and the Cochrane database were searched for articles published in English to December 2010 on the topic of GBS bacteriuria in pregnancy...
February 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29443741/research-progress-of-asymptomatic-bacteriuria-before-arthroplasty-a-systematic-review
#2
Qingyu Zhang, Lihua Liu, Wei Sun, Fuqiang Gao, Liming Cheng, Zirong Li
BACKGROUND: A high prevalence of asymptomatic bacteriuria exists in patients prior to arthroplasty, and urinary tract infection is considered to be a source of postoperative superficial wound and prosthetic joint infections. There is no consensus whether to screen for and treat asymptomatic bacteriuria before arthroplasty. OBJECTIVE: To summarize the association between asymptomatic bacteriuria and complications after arthroplasty and to evaluate the clinical benefits of treating asymptomatic bacteriuria prior to arthroplasty...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29432819/resistance-patterns-of-enterobacteriaceae-in-urines-are-similar-in-symptomatic-and-asymptomatic-patients
#3
Alberto Romero Palacios, Fahad Al Dhufairi, Chelsey Ellis, Daniel Smyth, Lorraine Maze Dit Mieusement, Allison McGeer, Dominik Mertz
Antibiograms of urine cultures are being used to guide empiric treatment for urinary tract infections (UTI). However, roughly 50% of urine cultures are from patients with asymptomatic bacteriuria (ABU). It is unclear whether enterobacteriaceae in ABU patients have similar resistance patterns as UTI patients. Hence, we aimed to compare the antimicrobial resistance patterns in patients with ABU to patients with symptomatic UTI. We found no major differences in resistance patterns, and therefore, empiric treatment choices can be guided by antibiograms that include ABU patients...
February 9, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29427686/laboratory-diagnosis-of-urinary-tract-infections-towards-a-bilulu-consensus-guideline
#4
REVIEW
Matthijs Oyaert, Britt Van Meensel, Reinoud Cartuyvels, Johan Frans, Wim Laffut, Patricia Vandecandelaere, Hans De Beenhouwer
The BILULU study group consists of seven microbiologists of hospital laboratories located in the region of Flanders (Belgium). A major goal of the group is to standardize diagnostic microbiology procedures based on available evidence and, in the absence of evidence, based on general microbiological principles and expert opinion. Scientific evidence of current urine culture guidelines is incomplete and at some points guidelines don't indicate clear choice. The aim of this project was to develop a clear and unambiguous step-by-step guideline regarding the work-up of urine cultures...
February 7, 2018: Journal of Microbiological Methods
https://www.readbyqxmd.com/read/29416279/characteristics-of-bacterial-colonization-after-indwelling-double-j-ureteral-stents-for-different-time-duration
#5
K S Shabeena, Rahul Bhargava, Muhammed A P Manzoor, M Mujeeburahiman
Background: Indwelling Double-J ureteral stenting is commonly used in urological practice and has various complications. This study aimed to assess the frequency of bacterial stent colonization and stent-associated bacteriuria after indwelling it for different time durations and to evaluate the significance of urinary cultures for identification of colonizing microorganisms. Materials and Methods: A prospective cross-sectional study was conducted. Midstream urine from 72 patients undergoing J stent insertion was investigated microbiologically before stent insertion and on the day of stent removal...
January 2018: Urology Annals
https://www.readbyqxmd.com/read/29416274/trend-analysis-of-bacterial-uropathogens-and-their-susceptibility-pattern-a-4-year-2013-2016-study-from-aseer-region-saudi-arabia
#6
Abdulaziz Alamri, Mohamed E Hamid, Muhammad Abid, Abdulrahman M Alwahhabi, Khalid M Alqahtani, Mohammed S Alqarni, Mosleh Abomughaid
Purpose: To analyze the prevalence and resistance rates of bacterial agents causing urinary tract infections (UTIs) in Aseer, Saudi Arabia (2013-2016). Patients and Methods: This was a 4-year (2013-2016) retrospective study undertaken in Aseer Central Hospital, Saudi Arabia. A total of 49,779 urine and other UT specimens obtained from patients suspected of having a UTI were analyzed. Urine specimens were inoculated onto cystine lactose electrolyte deficient agar following standard procedures...
January 2018: Urology Annals
https://www.readbyqxmd.com/read/29403616/asymptomatic-bacteriuria-in-pregnant-women-attending-boo-ali-hospital-tehran-iran-urine-analysis-vs-urine-culture
#7
Mina Etminan-Bakhsh, Sima Tadi, Roksana Darabi
Background: Asymptomatic bacteriuria is one of the common problems in pregnancy. Asymptomatic bacteriuria is associated with pyelonephritis, preterm labor and low birth weight infants. The physiological and anatomical changes in pregnancy facilitate urinary tract infection (UTI) during pregnancy. Several tests are available for diagnosis of asymptomatic bacteriuria. The urine culture is a gold standard diagnostic test for asymptomatic bacteriuria but it is expensive and time-consuming...
November 2017: Electronic Physician
https://www.readbyqxmd.com/read/29402148/urinary-tract-infection-during-pregnancy-current-concepts-on-a-common-multifaceted-problem
#8
Kallirhoe Kalinderi, Dimitrios Delkos, Michail Kalinderis, Apostolos Athanasiadis, Ioannis Kalogiannidis
Urinary tract infections (UTIs) are the most common bacterial infection in pregnancy, increasing the risk of maternal and neonatal morbidity and mortality. Urinary tract infections may present as asymptomatic bacteriuria, acute cystitis or pyelonephritis. Escherichia coli is the most common pathogen associated with both symptomatic and asymptomatic bacteriuria. If asymptomatic bacteriuria is untreated, up to 30% of mothers develop acute pyelonephritis, with an increased risk of multiple maternal and neonatal complications, such as preeclampsia, preterm birth, intrauterine growth restriction and low birth weight...
February 6, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29397230/effectiveness-of-a-bundled-approach-to-reduce-urinary-catheters-and-infection-rates-in-trauma-patients
#9
Paige E Davies, Mitchell J Daley, Jonathan Hecht, Athena Hobbs, Caroline Burger, Lynda Watkins, Taya Murray, Katherine Shea, Sadia Ali, Lawrence H Brown, Thomas B Coopwood, Carlos V R Brown
BACKGROUND: Catheter-associated urinary tract infections (CAUTIs) are common nosocomial infections. In 2015, the Centers for Medicare and Medicaid Services began imposing financial penalties for institutions where CAUTI rates are higher than predicted. However, the surveillance definition for CAUTI is not a clinical diagnosis and may represent asymptomatic bacteriuria. The objective of this study was to compare rates of urinary catheterization and CAUTI before and after the implementation of a bundled intervention...
January 31, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29390169/antibiotics-for-asymptomatic-bacteriuria-in-kidney-transplant-recipients
#10
REVIEW
Julien Coussement, Anne Scemla, Daniel Abramowicz, Evi V Nagler, Angela C Webster
BACKGROUND: Asymptomatic bacteriuria, defined as bacteriuria without signs or symptoms of urinary tract infection (UTI), occurs in 17% to 51% of kidney transplant recipients and is thought to increase the risk for a subsequent UTI. No consensus exists on the role of antibiotics for asymptomatic bacteriuria in kidney transplantation. OBJECTIVES: To assess the benefits and harms of treating asymptomatic bacteriuria in kidney transplant recipients with antimicrobial agents to prevent symptomatic UTI, all-cause mortality and the indirect effects of UTI (acute rejection, graft loss, worsening of graft function)...
February 1, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29389678/orally-administered-combination-of-hyaluronic-acid-chondroitin-sulfate-curcumin-and-quercetin-in-the-prevention-of-postcoital-recurrent-urinary-tract-infections-analysis-of-98-women-in-reproductive-age-after-6-months-of-treatment
#11
Michele Carlo Schiavi, Maria Grazia Porpora, Flaminia Vena, Giovanni Prata, Valentina Sciuga, Ottavia D'Oria, Chiara Di Tucci, Delia Savone, Natalia Aleksa, Andrea Giannini, Maria Paola Nusiner, Marzio Angelo Zullo, Ludovico Muzii, Pierluigi Benedetti Panici
OBJECTIVE: The aim of this study is to assess the efficacy of orally administered combination of hyaluronic acid (HA), chondroitin sulfate (CS), curcumin, and quercetin for the prevention of postcoital recurrent urinary tract infection (UTI) in reproductive age women. METHODS: Ninety-eight consecutive patients in reproductive age affected by UTI were considered for the study. All 98 patients received a combination of HA, CS, curcumin, and quercetin two tablets per diem for the first month and one tablet every day for the next 5 months...
January 31, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29382515/clinical-characterization-and-antimicrobial-resistance-of-escherichia-coli-in-pediatric-patients-with-urinary-tract-infection-at-a-third-level-hospital-of-quito-ecuador
#12
David Garrido, Santiago Garrido, Miguel Gutiérrez, Leonel Calvopiña, Amani Sunday Harrison, Michelle Fuseau, Ramiro Salazar Irigoyen
BACKGROUND: Urinary tract infections (UTI) are among the most common infections in pediatric patients. The main etiopathogenic agent is Escherichia coli. The purpose of this study was to determine the antimicrobial resistance pattern of E. coli in pediatric patients and to understand their main clinical and laboratory manifestations. METHODS: Fifty-nine patients were included in the study and classified into two groups: hospitalization (H) and external consultation (EC)...
July 2017: Boletín Médico del Hospital Infantil de México
https://www.readbyqxmd.com/read/29376622/-uriscam-project-multicenter-evaluation-of-the-uf-series-cytometer-in-the-urinary-tract-infections-screening
#13
M M Jarabo, M A Asencio, R Carranza, O Herráez, M Huertas, A Arias-Arias, O Redondo, M A Galán, M S Illescas, P Zamarrón, S Solís, S Jiménez-Alvarez
OBJECTIVE: Urine culture, the gold standard to confirm the presence of urinary tract infection (UTI), is the most requested assay in the microbiology department. Our objective was to determine the diagnostic yield of the UF-Series cytometer as a screening method for UTI. METHODS: All the urine samples sent to the six Microbiology Laboratories participating in a period of 5 working days were analyzed. We collected demographic variables, apart from those variables related to urine samples: source and sample type (midstream, catheterized or nephrostomy urines), collection with/without boric acid, cytometer parameters (leukocyturia, bacteriuria, bacteria morphology and epithelial cells) and urine culture results...
January 29, 2018: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
https://www.readbyqxmd.com/read/29374709/non-invasive-detection-of-bladder-tumors-through-volatile-organic-compounds-a-pilot-study-with-an-electronic-nose
#14
Hendrik Heers, Josef Maximilian Gut, Axel Hegele, Rainer Hofmann, Tobias Boeselt, Akira Hattesohl, Andreas Rembert Koczulla
BACKGROUND/AIM: Cystoscopy, the standard diagnostic for bladder tumors, is uncomfortable, invasive, and expensive. The available urine-based marker systems all lack accuracy. Measuring volatile organic compounds (VOCs) from urine is a promising alternative. This pilot study evaluates the feasibility of discriminating bladder cancer patients' urine from healthy controls with an electronic nose. MATERIALS AND METHODS: Headspace measurements of urine samples of 30 patients with confirmed transitional cell carcinoma (TCC) and 30 healthy controls were performed with Cyranose 320 calculating Mahalanobis distance and linear discriminant analysis...
February 2018: Anticancer Research
https://www.readbyqxmd.com/read/29368046/current-evidence-does-not-support-systematic-antibiotherapy-prior-to-joint-arthroplasty-in-patients-with-asymptomatic-bacteriuria-a-meta-analysis
#15
Chenglong Wang, Dong Yin, Weifa Shi, Wenwen Huang, Deling Zuo, Qiang Lu
BACKGROUND: Many orthopaedic surgeons worry about asymptomatic bacteriuria (ASB) as a possible risk factor for prosthetic joint infection (PJI). However, available evidence establishing a direct link between ASB and PJI is limited. This meta-analysis aimed to investigate whether ASB is a factor for PJI and whether pre-operative antibiotic treatment shows benefit. METHOD: We systematically searched major databases such as PubMed, Web of Science, the Cochrane Library and EMBASE for studies...
January 24, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29355293/bladder-irrigation-with-chlorhexidine-reduces-bacteriuria-in-persons-with-spinal-cord-injury
#16
Madeleine Wikström, Richard Levi, Wolfram Antepohl
OBJECTIVE: To explore whether bladder irrigation with chlorhexidine: (i) can reduce bacteriuria, and (ii) is a practically feasible option in subjects with spinal cord injury practicing intermittent self-catheterization. DESIGN: A prospective, non-controlled, open, multi-centre study. METHODS: Fifty patients with spinal cord injury, practicing intermittent self-catheterization, with a history of recurrent urinary tract infections were screened for bacteriuria at follow-up visits to 4 spinal cord injury centres in Sweden...
January 22, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29353243/impact-of-order-set-design-on-urine-culturing-practices-at-an-academic-medical-centre-emergency-department
#17
Satish Munigala, Ronald R Jackups, Robert F Poirier, Stephen Y Liang, Helen Wood, S Reza Jafarzadeh, David K Warren
BACKGROUND: Urinalysis and urine culture are commonly ordered tests in the emergency department (ED). We evaluated the impact of removal of order sets from the 'frequently ordered test' in the computerised physician order entry system (CPOE) on urine testing practices. METHODS: We conducted a before (1 September to 20 October 2015) and after (21 October to 30 November 2015) study of ED patients. The intervention consisted of retaining 'urinalysis with reflex to microscopy' as the only urine test in a highly accessible list of frequently ordered tests in the CPOE system...
January 20, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29351769/protocol-to-disseminate-a-hospital-site-controlled-intervention-using-audit-and-feedback-to-implement-guidelines-concerning-inappropriate-treatment-of-asymptomatic-bacteriuria
#18
Barbara W Trautner, Pooja Prasad, Larissa Grigoryan, Sylvia J Hysong, Jennifer R Kramer, Suja Rajan, Nancy J Petersen, Tracey Rosen, Dimitri M Drekonja, Christopher Graber, Payal Patel, Paola Lichtenberger, Timothy P Gauthier, Steve Wiseman, Makoto Jones, Anne Sales, Sarah Krein, Aanand Dinkar Naik
BACKGROUND: Antimicrobial stewardship to combat the spread of antibiotic-resistant bacteria has become a national priority. This project focuses on reducing inappropriate use of antimicrobials for asymptomatic bacteriuria (ASB), a very common condition that leads to antimicrobial overuse in acute and long-term care. We previously conducted a successful intervention, entitled "Kicking Catheter Associated Urinary Tract Infection (CAUTI): the No Knee-Jerk Antibiotics Campaign," to decrease guideline-discordant ordering of urine cultures and antibiotics for ASB...
January 19, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29340148/reducing-unnecessary-culturing-a-systems-approach-to-evaluating-urine-culture-ordering-and-collection-practices-among-nurses-in-two-acute-care-settings
#19
Robert Redwood, Mary Jo Knobloch, Daniela C Pellegrini, Matthew J Ziegler, Michael Pulia, Nasia Safdar
Background: Inappropriate ordering and acquisition of urine cultures leads to unnecessary treatment of asymptomatic bacteriuria (ASB). Treatment of ASB contributes to antimicrobial resistance particularly among hospital-acquired organisms. Our objective was to investigate urine culture ordering and collection practices among nurses to identify key system-level and human factor barriers and facilitators that affect optimal ordering and collection practices. Methods: We conducted two focus groups, one with ED nurses and the other with ICU nurses...
2018: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/29338897/asymptomatic-bacteriuria-and-urinary-tract-infection-in-pregnant-women-with-and-without-diabetes-cohort-study
#20
Caroline Schneeberger, Jan Jaap H M Erwich, Edwin R van den Heuvel, Ben W J Mol, Alewijn Ott, Suzanne E Geerlings
OBJECTIVE: To compare the prevalence of asymptomatic bacteriuria (ASB) and the incidence of urinary tract infection (UTI) in pregnant women with and without diabetes mellitus (DM) or gestational DM (GDM). STUDY DESIGN: We performed a cohort study in five hospitals and two midwifery clinics in the Netherlands. Pregnant women with and without DM or GDM were screened for the presence of ASB around 12 and 32 weeks' gestation. Characteristics of participants as well as outcome data were collected from questionnaires and medical records...
December 7, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
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