Necessity of asymptomatic bacteriuria screening during pregnancy
10.3760/cma.j.cn113903-20221106-00947
- VernacularTitle:妊娠期无症状菌尿筛查的必要性
- Author:
Rui MA
1
;
Tingting ZHAO
;
Yingdong HE
Author Information
1. 北京大学第一医院宁夏妇女儿童医院妇产科，银川 750011
- Keywords:
Asymptomatic infections;
Bacteriuria;
Anti-bacterial agents;
Pyelonephritis;
Pregnancy outcome
- From:
Chinese Journal of Perinatal Medicine
2023;26(5):406-410
- CountryChina
- Language:Chinese
-
Abstract:
Asymptomatic bacteriuria (ASB) refers to the presence of one or more species of bacteria in an individual's urine without the symptoms of a urinary tract infection. Previous studies have shown that untreated ASB during pregnancy is associated with adverse pregnancy outcomes. Many international guidelines recommend a single screen-and-treat approach to ASB during pregnancy. Still, this approach has not been proven favorable to pregnancy outcomes in low-risk populations by recent studies. ASB screening is not a routine obstetric examination in clinical practice in China. Given this, this article will review the evidence of ASB screening during pregnancy and analyze the recommendations and existing problems in the guidelines from various academic organizations. Clinical studies should be carried out according to the situation in the region, and the basic risks and treatment benefits of ASB in pregnancy should be analyzed in combination with specific data to establish a proper screening and treatment plan for ASB during pregnancy. Screening for ASB is recommended for pregnant women with high-risk factors at this stage.
