Evidence map›Paper›PMID 22143416›Full record

ReviewNature reviews. Urology2011

Asymptomatic bacteriuria: when the treatment is worse than the disease.

Barbara W Trautner

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01052545 (Guideline Implementation to Decrease Inappropriate Bacteriuria Treatment), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01052545 nacompletednot on this map

Guideline Implementation to Decrease Inappropriate Bacteriuria Treatment

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2011 to 2013Enrolled1,598ConditionsInfection Due to Indwelling Urinary Catheter, Asymptomatic BacteriuriaArmsAudit-Feedback
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Impact of provider-selected indication requirement on urine test utilization and positivity.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    Article
  13. Outpatient prescribing and prophylactic antibiotic use for recurrent urinary tract infections in British Columbia, Canada.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Barbara W TrautnerDepartment of Medicine, Section of Infectious Diseases, MS: BCM 286, Room N-1319, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. trautner@bcm.edu
Baylor College of Medicine · US

Funding

Guideline Implementation to Decrease Inappropriate Bacteriuria TreatmentI01HX000139 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI TRAUTNER, BARBARA WELLS · 2011 to 2013
–
HSRD VA I01 HX000139
6 · The paper itself

Abstract

Asymptomatic bacteriuria (ABU) is a condition in which bacteria are present in a noncontaminated urine sample collected from a patient without signs or symptoms related to the urinary tract. ABU must be distinguished from symptomatic UTI by the absence of signs and symptoms compatible with UTI or by clinical determination that a nonurinary etiology accounts for the patient's symptoms. Interactions between the organism, the host, and the bladder environment determine whether bacteriuria leads to ABU or to UTI. ABU is a very common condition that is often treated unnecessarily with antibiotics-it should be detected and treated in pregnant women and patients undergoing urologic surgery, but in most other patient groups, treatment does not confer benefit and can be harmful. A change in prescribing behavior for ABU has been achieved through several fairly high-intensity interventions, such as interactive educational sessions for physicians, but whether these improvements persist beyond the study period is not known. Further research is needed to determine whether screening for and treatment of ABU is beneficial in patients with renal transplants, patients with orthotopic neobladders, patients undergoing prosthetic joint implantation, and patients with neutropenia.

Indexed as

BacteriuriaClinical CompetenceDiagnostic ErrorsDiagnostic Techniques, UrologicalMedication ErrorsFemaleHumansPregnancyPregnancy Complications, InfectiousUrology

Identifiers

PMID22143416
OpenAlexW2023959856

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.