Management of Asymptomatic Bacteriuria, Urinary Catheters and Symptomatic Urinary Tract Infections in Patients Undergoing Surgery for Joint Replacement: A Position Paper of the Expert Group 'Infection' of swissorthopaedics.

Sendi, Parham; Borens, Olivier; Wahl, Peter; Clauss, Martin; Uçkay, Ilker (2017). Management of Asymptomatic Bacteriuria, Urinary Catheters and Symptomatic Urinary Tract Infections in Patients Undergoing Surgery for Joint Replacement: A Position Paper of the Expert Group 'Infection' of swissorthopaedics. Journal of bone and joint infection, 2(3), pp. 154-159. Ivyspring International Publisher 10.7150/jbji.20425

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In this position paper, we review definitions related to this subject and the corresponding literature. Our recommendations include the following statements. Asymptomatic bacteriuria, asymptomatic leukocyturia, urine discolouration, odd smell or positive nitrite sediments are not an indication for antimicrobial treatment. Antimicrobial treatment of asymptomatic bacteriuria does not prevent periprosthetic joint infection, but is associated with adverse events, costs and antibiotic resistance development. Urine analyses or urine cultures in asymptomatic patients undergoing orthopaedic implants should be avoided. Indwelling urinary catheters are the most frequent reason for healthcare-associated urinary tract infections and should be avoided or removed as soon as possible.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases > Research
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology

UniBE Contributor:

Sendi, Parham

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2206-3552

Publisher:

Ivyspring International Publisher

Language:

English

Submitter:

Annelies Luginbühl

Date Deposited:

09 Nov 2017 11:18

Last Modified:

09 Nov 2017 11:27

Publisher DOI:

10.7150/jbji.20425

PubMed ID:

28894690

Uncontrolled Keywords:

Asymptomatic bacteriuria asymptomatic leukocyturia urine discolouration

BORIS DOI:

10.7892/boris.105470

URI:

https://boris.unibe.ch/id/eprint/105470

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