Asymptomatic bacteriuria among medical inpatients: Data from an Indian teaching hospital
| Autor: | Surendran Deepanjali, Pradeep R Gogulamudi, Gopichand Pallam, Jharna Mandal |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Bacteriuria medicine.drug_class Urinary system Antibiotics Urine 030501 epidemiology urologic and male genital diseases Teaching hospital 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans In patient 030212 general & internal medicine Hospitals Teaching Pyuria Asymptomatic bacteriuria Aged Inpatients business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease female genital diseases and pregnancy complications Infectious Diseases Urinary Tract Infections medicine.symptom 0305 other medical science business Kidney disease |
| Zdroj: | Tropical doctor. 51(4) |
| ISSN: | 1758-1133 |
| Popis: | Studies indicate that asymptomatic bacteriuria in medical inpatients is often inappropriately treated with antibiotics. We prospectively studied the proportion of asymptomatic bacteriuria among 200 positive urine cultures which were ordered in hospitalised medical inpatients of a teaching hospital in southern India. We used pre-defined criteria to classify patients as urinary tract infection and asymptomatic bacteriuria. Median age of patients was 53.5 (42–65) years, and 51% were male. In all, 157 (78.5%) patients had urinary tract infection (131 [66.5%] definite and 26 [13%] probable) and 43 (21.5%) had asymptomatic bacteriuria. In patients with asymptomatic bacteriuria, 18 (41.8%) received urinary tract infection-directed antibiotics; broad spectrum antibiotics were used in 10 (23%). Patients with asymptomatic bacteriuria were younger, more likely to be on a urinary catheter, had higher prevalence of chronic kidney disease and congestive cardiac failure and had lower prevalence of pyuria and lower total leucocyte counts. Urine cultures should be ordered only in indicated patients. Inappropriate antibiotic treatment in patients with asymptomatic bacteriuria should be avoided. |
| Databáze: | OpenAIRE |
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