5 minutes pour apprendre. Traitement problématique d’une bactériurie asymptomatique.
Auteurs : Sultan R1, Cazaux T1, Regina J1Affiliations : 1Service de médecine interne et des soins intensifs, Hôpital de Nyon, GHOL, 1260 Nyon.
Date 2024 Avril 10, Vol 20, Num 869, pp 766-767Revue : Revue médicale suisseType de publication : résumé en anglais; article de périodique; DOI : 10.53738/REVMED.2024.20.869.766Résumé
Asymptomatic bacteriuria is frequently encountered in clinical practice and should be treated only in pregnant women and before invasive urological procedures. Inappropriate treatment of asymptomatic bacteriuria is associated with numerous adverse effects including allergic reactions, increased antibiotics resistance and increase risk of Clostridioides difficile infection. Positive urinary culture often leads to antimicrobial treatment, irrespective of urinary symptoms. Therefore, urine analysis and culture should be performed only in symptomatic individuals or in asymptomatic individuals with a clear indication for treatment.