Editing Urinary Tract Infections (section)

=== Asymptomatic Bacteriuria ===
*'''<span style="color:#ff0000">Definition: bacteriuria of any magnitude without symptoms</span>'''
*'''<span style="color:#ff0000">Management</span>'''
**'''<span style="color:#ff0000">DO NOT routinely treat or screen for asymptomatic bacteriuria</span>'''
***No evidence that treatment of asymptomatic bacteriuria improves outcomes
**'''<span style="color:#ff0000">Indications for screening/treatment of asymptomatic bacteriuria (2):</span>'''**#'''<span style="color:#ff0000">Pregnant females</span>'''
**#'''<span style="color:#ff0000">Patients undergoing elective urologic surgery</span>'''
**#'''Neonatal candiduria, not technically bacteruria but should be treated even if asymptomatic'''
**#*'''Treat candiduria in neonates with parenteral fluconazole'''
** '''Asymptomatic bacteriuria and struvite stones'''
***'''Routine treatment of urease-producing bacteriuria in the absence of UTI symptoms or documented urinary tract stones is not recommended'''
***There is no clear evidence that identification and treatment of asymptomatic bacteriuria caused by urease-producing organisms (recall that urease-producing organisms include proteus, pseudomonas, klebsiella, mycoplasma, and staphylococcus) prevents struvite stone formation. However, '''in certain patients with recurrent struvite stones, screening for and treating urease-producing bacteriuria may be indicated if other measures have not been able to prevent stone formation.'''