Updated IDSA Guidelines for Managing Asymptomatic Bacteriuria

Screening for, or treating, asymptomatic bacteriuria is not recommended, except in pregnant patients.

Sponsoring Organization: Infectious Diseases Society of America (IDSA)

Target Audience: Internists, family medicine clinicians, and many specialists including those in infectious disease and emergency medicine.

Background and Objective

Nontreatment of asymptomatic bacteriuria (ASB) is a priority in antimicrobial stewardship initiatives. This update to the 2005 IDSA guidelines incorporates new evidence and addresses additional populations, including children, patients with neutropenia, recipients of solid organ transplants, and patients undergoing nonurologic surgery.

Key Recommendations

Screening for, and then treating, asymptomatic bacteriuria is recommended for pregnant women; 4 to 7 days of antibiotics is recommended for pregnant women with A…

Reviewing Author

Jason T. McMullan, MD, MS, FAEMS

Disclosures

Consultant/Advisory BoardEMCREG International

Grant/Research SupportNIH; Department of Defense

Editorial BoardsJournal of Emergency Medical Services

Leadership Positions in Professional SocietiesNational Association of EMS Physicians (Chair, Research Committee)