Antibiotics for asymptomatic bacteriuria in pregnancy.

  title={Antibiotics for asymptomatic bacteriuria in pregnancy.},
  author={Fiona Smaill and Juan Carlos V{\'a}zquez},
  journal={The Cochrane database of systematic reviews},
BACKGROUND Asymptomatic bacteriuria occurs in 2% to 10% of pregnancies and, if not treated, up to 30% of mothers will develop acute pyelonephritis. Asymptomatic bacteriuria has been associated with low birthweight and preterm delivery. OBJECTIVES To assess the effect of antibiotic treatment for asymptomatic bacteriuria on persistent bacteriuria during pregnancy, the development of pyelonephritis and the risk of low birthweight and preterm delivery. SEARCH STRATEGY We searched the Cochrane… 

Figures from this paper

Antibiotics for asymptomatic bacteriuria in pregnancy.

Antibiotic treatment may be effective in reducing the risk of pyelonephritis in pregnancy, but confidence in the effect estimate is limited given the low certainty of the evidence.

[Urinary tract infection in pregnancy].

In cases in which UTI prophylaxis is indicated, chemotherapeutic agents are preferred, among them nitrofurantoin, with care taken to avoid its use at the end of pregnancy due to the risk of kernicterus for the neonate.

Urinary Tract Infection in Pregnancy and Its Effects on Maternal and Perinatal Outcome: A Retrospective Study

According to the results, significant predictors of bacteriuria in pregnancy history include UTI, renal calculi, and nulliparity, which means women with UTI in pregnancy are more likely to have preterm delivery.

Gestational Pyelonephritis as an Indicator of the Quality of Ambulatory Maternal Health Care Services

Gestational pyelonephritis meets both clinical and technical requirements as a quality indicator for ambulatory maternal care and would provide an opportunity for hospitals to improve patient outcomes through partnership with obstetricians in the management of women at risk.


The prevalence and role of Escherichia coli in pregnancy related miscarriages in the Upland Area of Rivers state of Nigeria showed significant relationship with the illiteracy level of the women, and this calls for mass literacy and awareness among the intending mothers.

Maternal Comorbidities Associated with Preterm Deliveries in Comparison with Full Term Delivery in Al-Zahraa Teaching Hospital in Al Najaf City

Based on the results in the study the most determinants that affect on preterm birth were urinary tract infection, premature rupture of membrane and abruption placenta.



Duration of treatment for asymptomatic bacteriuria during pregnancy.

There is not enough evidence to evaluate whether single dose or longer duration doses are more effective in treating asymptomatic bacteriuria in pregnant women, so this comparison should be explored in a properly sized randomized controlled trial.

Evaluation and importance of asymptomatic bacteriuria in pregnancy.

It is suggested that it would be prudent to screen pregnant women for bacteriuria in the second and third trimesters, as there was a significant relationship between advanced maternal age and incidence of ASB.

Treatment of bacteriuria in pregnancy.

  • Medicine
    British medical journal
  • 1970
It remains necessary to prescribe treatment for all pregnant women with asymptomatic significant bacteriuria, and short (one-week) courses of treatment are preferable to longer ones, since the duration of initial treatment does not affect the recurrence rate.

Risk factors related to asymptomatic bacteriuria in pregnant women.

Lower education level (< or = grade 6) should be the only significant risk factor related to ABU in Thai pregnant women under limited sample size.

High prevalence of bacteriuria in pregnancy and its screening methods in north India.

It is concluded that prevalence of symptomatic bacteriuria is common among pregnant women and syndromic management of cases on the basis of score card is helpful in resource constraint areas.

Treatments for symptomatic urinary tract infections during pregnancy.

There is insufficient data to recommend any specific treatment regimen for symptomatic urinary tract infections during pregnancy, and all the antibiotics studied were shown to be very effective in decreasing the incidence of outcomes measured.

Screening for asymptomatic bacteriuria in pregnancy. A decision and cost analysis.

This study uses decision and cost analysis to compare the utility of screening for asymptomatic bacteriuria with not screening and finds screening is cost saving unless the cost of screening is above $26.

Acute Pyelonephritis in Pregnancy

The incidence of pyelonephritis has remained low in the era of routine prenatal screening for asymptomatic bacteriuria, and Gram-positive uropathogens are found more commonly as pregnancy progresses.

Short-Term Versus Continuous Antimicrobial Therapy for Asymptomatic Bacteriuria in Pregnancy

It is demonstrated that short-term administration of antimicrobials, when combined with surveillance for recurrent bacteriuria, is effective for the management of the pregnant woman with asymptomatic bacter iuria.

Screening for asymptomatic bacteriuria in pregnancy.

  • W. McIsaacJ. Carroll J. Permaul
  • Medicine
    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2005