Pediatr. praxi. 2023;24(6):367-371 | DOI: 10.36290/ped.2023.090

Asymptomatic bacteriuria

MUDr. Alexander Kolský, CSc.1, MUDr. Josef Gut2, MUDr. Světlana Najmanová3, MUDr. Eliška Bébrová4
1 Klinika dětí a dorostu, 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha
2 Dětské oddělení, Nemocnice s poliklinikou, Česká Lípa
3 Dětské oddělení, Oblastní nemocnice, Kladno
4 Ústav lékařské mikrobiologie, 2. LF UK a Fakultní nemocnice Motol, Praha

Asymptomatic bacteriuria (ABU) is recurrent significant bacteriuria in individuals with normal anatomy and function of the uropoietic tract, and without the presence of clinical symptoms. Despite the knowledge of pathophysiology and microbiology, the relationship between ABU and urinary tract infection (UTI) has not yet been fully elucidated. The incidence of ABU compared to UTI, is significantly lower. Children with ABU do not require therapy. In the case of antibiotic therapy for ABU, there is a possible risk of subsequent manifestation of UTI by more virulent strains and an increase in antibiotic resistence. Recurrence of ABU is also common. Today, ABU therapy is recommended only in the case of urological procedures where mucosal damage may occur.

Keywords: asymptomatic bacteriuria, urinary tract infection, children, antibiotics resistence.

Accepted: November 14, 2023; Published: November 22, 2023  Show citation

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Kolský A, Gut J, Najmanová S, Bébrová E. Asymptomatic bacteriuria. Pediatr. praxi. 2023;24(6):367-371. doi: 10.36290/ped.2023.090.
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