Pyelonephritis Screening

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

Overview

There are no known screening tests for pyelonephritis in general population. However, there are few situations that screening for bacteriuria is performed. Asymptomatic bacteriuria must be screened in pregnancy, prior to urologic surgery, and for research purposes.

Screening

There are no known screening tests for pyelonephritis in general population. However, there are few situations that screening for bacteriuria is performed.

Asymptomatic bacteriuria is only screened for in the following circumstances:^[1]
- Pregnancy
  - Bacteriuria in pregnancy is always treated unlike asymptomatic non-pregnant population. Careful choice of antibiotics is ensured to prevent adverse effects on the fetus or the mother. Urine culture is done to screen this population for bacterial presence.^[2]^[3]
- Before urologic surgery
- Research purposes

Routine blood cultures for pyelonephritis detection in pregnancy have not been found to be effective.^[4]

References

↑ Nicolle LE, Bradley S, Colgan R, Rice JC, Schaeffer A, Hooton TM; et al. (2005). “Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults”. Clin Infect Dis. 40 (5): 643–54. doi:10.1086/427507. PMID 15714408.
↑ Glaser AP, Schaeffer AJ (2015). “Urinary Tract Infection and Bacteriuria in Pregnancy”. Urol Clin North Am. 42 (4): 547–60. doi:10.1016/j.ucl.2015.05.004. PMID 26475951.
↑ Matuszkiewicz-Rowińska J, Małyszko J, Wieliczko M (2015). “Urinary tract infections in pregnancy: old and new unresolved diagnostic and therapeutic problems”. Arch Med Sci. 11 (1): 67–77. doi:10.5114/aoms.2013.39202. PMC 4379362. PMID 25861291.
↑ Gomi H, Goto Y, Laopaiboon M, Usui R, Mori R (2015). “Routine blood cultures in the management of pyelonephritis in pregnancy for improving outcomes”. Cochrane Database Syst Rev (2): CD009216. doi:10.1002/14651858.CD009216.pub2. PMID 25679346.

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[pmid15714408-1] Nicolle LE, Bradley S, Colgan R, Rice JC, Schaeffer A, Hooton TM; et al. (2005). “Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults”. Clin Infect Dis. 40 (5): 643–54. doi:10.1086/427507. PMID 15714408.

[pmid26475951-2] Glaser AP, Schaeffer AJ (2015). “Urinary Tract Infection and Bacteriuria in Pregnancy”. Urol Clin North Am. 42 (4): 547–60. doi:10.1016/j.ucl.2015.05.004. PMID 26475951.

[pmid25861291-3] Matuszkiewicz-Rowińska J, Małyszko J, Wieliczko M (2015). “Urinary tract infections in pregnancy: old and new unresolved diagnostic and therapeutic problems”. Arch Med Sci. 11 (1): 67–77. doi:10.5114/aoms.2013.39202. PMC 4379362. PMID 25861291.

[pmid25679346-4] Gomi H, Goto Y, Laopaiboon M, Usui R, Mori R (2015). “Routine blood cultures in the management of pyelonephritis in pregnancy for improving outcomes”. Cochrane Database Syst Rev (2): CD009216. doi:10.1002/14651858.CD009216.pub2. PMID 25679346.

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Pyelonephritis Screening

Overview

Screening

References

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