Asymptomatic bacteriuria

• In neonates and preschool children, treat and investigate for evidence of vesicoureteral reflux.

• In men less than 60 years old, treat and investigate, especially for chronic prostatitis.

• In women, give single dose therapy and investigate only those in whom UTI persists or recurs.

• In pregnant women, treat because of the risk of developing pyelonephritis (up to 40% risk).

• School-age children and elderly men and women (over 60 years) probably do not require treatment if their urinary tracts are normal.

• In patients with long-term indwelling catheters treatment is not usually required or useful.

• Prophylaxis should be given for recurrent asymptomatic bacteriuria in pregnant women, in patients with associated renal tract abnormality, and in those undergoing genitourinary instrumentation or surgery or intermittent catheterisation.

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