Asymptomatic Bacteriuria

Treatment

Do NOT treat asymptomatic patients with positive urine cultures

Antibiotics may lead to harmful effects to the patient that cannot be justified based on lack of any treatment benefits

Harmful effects may include

  • Clostridium difficile infection

  • Induction of antimicrobial resistance

The ONLY exceptions are:

  • Pregnant women

  • Before transurethral resection of the prostate or other urologic procedure for which mucosal bleeding is anticipated