Asymptomatic Bacteriuria

Do I Need Antibiotics for Asymptomatic Bacteriuria?

Asymptomatic bacteriuria (ASB) refers to the presence of bacteria in the urine without symptoms of a urinary tract infection. ASB is a colonization state rather than an infection and DOES NOT require antibiotics. Older persons are much more likely to have bacteria in the urine as a normal condition of aging.

Why You Don’t Need Antibiotics for Asymptomatic Bacteriuria

Giving antibiotics for this condition will cause unnecessary side effects including diarrhea and will promote resistance of bacteria.

Symptoms of a urinary tract infection include burning or pain on voiding, increased frequency of voiding, fever and flank pain.

NOTE: cloudy, foul smelling urine does not indicate a urinary tract infection. It usually indicates dehydration and does not need to be investigated with a urine test.

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