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DOI: 10.4103/ajm.AJM_199_17
Significance of bacteriuria in patients with end-stage renal disease on hemodialysis
Financial support and sponsorship Nil.Abstract
The significance of bacteriuria in patients with end-stage renal disease (ESRD) on hemodialysis (HD) is unclear. It is not known whether treatment of asymptomatic bacteriuria is associated with lower rates of urinary tract infection or readmission. Adult patients with ESRD on HD were retrospectively evaluated to assess factors associated with the recurrence of bacteriuria and readmission. We included 68 patients in the analysis. There were 20 patients (29.4%) with urinary symptoms. All symptomatic patients received antibiotic therapy, whereas half of the asymptomatic patients received antibiotics. Antibiotic use was not associated with lower rates of readmission or the recurrence of bacteriuria.
Publikationsverlauf
Artikel online veröffentlicht:
12. August 2021
© 2018. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Chaudhry A, Stone WJ, Breyer JA. Occurrence of pyuria and bacteriuria in asymptomatic hemodialysis patients. Am J Kidney Dis 1993; 21: 180-3
- 2 Vij R, Nataraj S, Peixoto AJ. Diagnostic utility of urinalysis in detecting urinary tract infection in hemodialysis patients. Nephron Clin Pract 2009; 113: c281 -5
- 3 Mortazavi M, Seyrafian S, Shahidi S, Abadpour Z, Shahbazi F. et al. Pyuria as a screening test for detection of urinary tract infection in patients on long-term hemodialysis. Iran J Kidney Dis 2011; 5: 50-2
- 4 Hyodo T, Yoshida K, Sakai T, Baba S, Sarin YK. Asymptomatic hyperleukocyturia in hemodialysis patients analyzed by the automated urinary flow cytometer. Ther Apher Dial 2005; 9: 402-6
- 5 Nicolle LE, Bradley S, Colgan R, Rice JC, Schaeffer A, Hooton TM. et al. Infectious diseases society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 2005; 40: 643-54
- 6 van Manen JG, Korevaar JC, Dekker FW, Boeschoten EW, Bossuyt PM, Krediet RT. et al. How to adjust for comorbidity in survival studies in ESRD patients: A comparison of different indices. Am J Kidney Dis 2002; 40: 82-9