Management of asymptomatic bacteriuria in patients with diabetes mellitus

Management of asymptomatic bacteriuria in patients with diabetes mellitus

Ooi S T; Frazee L A; Gardner W G

Annals of Pharmacotherapy

2004

2004-03

OBJECTIVE: To review the literature regarding the management of asymptomatic bacteriuria (ASB) in patients with diabetes mellitus. DATA SOURCES: A MEDLINE (1967-June 2003) and bibliographic search of the English-language literature was conducted using the search terms diabetes mellitus, asymptomatic, bacteriuria, and urinary tract infection. DATA SYNTHESIS: ASB occurs in diabetic women more commonly than in non-diabetics and is associated with an increased risk of symptomatic urinary tract infection (UTI) among patients with type 2 diabetes. Symptomatic UTIs tend to follow a more complicated course in diabetics. Despite these independent observations, antimicrobial therapy has not been shown to reduce symptomatic UTIs, pyelonephritis, or hospitalization for UTI. CONCLUSIONS: Available evidence does not support antimicrobial treatment of ASB among patients with diabetes mellitus.

bacteriuria; diabetes mellitus; Pharmacology & Pharmacy; urinary-tract infections; women

Journal Article

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490-493

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