Management of asymptomatic bacteriuria in patients with diabetes mellitus

被引：12
|
作者：
Ooi, ST
Frazee, LA
Gardner, WG
机构：
[1] Akron Gen Med Ctr, Akron, OH 44307 USA
[2] NE Ohio Univ, Coll Med, Akron, OH USA
来源：
ANNALS OF PHARMACOTHERAPY | 2004年 / 38卷 / 03期
关键词：
bacteriuria; diabetes mellitus;
D O I：
10.1345/aph.1D355
中图分类号：
R9 [药学];
学科分类号：
1007 ;
摘要：
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.
引用
收藏
页码：490 / 493
页数：4
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