Asymptomatic bacteriuria in pregnant women: controversial issues and the need to achieve interdisciplinary consensus

Ibishev Kh.S.¹, Gadzhieva Z.K.², Naboka Yu.L.¹, Moiseeva I.V.³, Kosova I.V.⁴, Zaitcev A.V.⁵

1) Rostov State Medical University, Rostov-on-Don, Russia; 2) Sechenov First Moscow State Medical Univesity (Sechenov University), Moscow, Russia; 3) Samara State Medical University, Samara, Russia; 4) Russian Medical Academy of Continuous Professional Education; Moscow, Russia; 5) Russian University of Medicine, Moscow, Russia

Introduction. The review is devoted to the study of modern aspects of the pathogenesis, diagnosis and treatment of asymptomatic bacteriuria (AB). The search was conducted using the Medline, PubMed, EMBASE databases. The literature search data indicate that AB in pregnant women is currently an actively discussed section of modern uroinfection. Currently, there is no consensus on the pathogenetic basis, the need and choice of antimicrobial therapy for AB in pregnant
women.
Purpose of the study. Generalization and analysis of world literature data on asymptomatic bacteriuria in pregnant women, study of the feasibility and validity of antibacterial treatment for this treatment.
Conclusions: AB in pregnant women, a physiological, non-pathological state of the body, previous principles of diagnosis and treatment of this condition, are outdated in the context of the development of new diagnostic methods and understanding of the pathogenesis of urinary tract diseases, and do not require the appointment of antibacterial therapy.

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About the Authors

Corresponding author: K.S. Ibishev – doctor of medical sciences, professor of the department of urology and human reproductive health with the course of pediatric urology-andrology at the Federal State Medical University of the Russian Ministry of Health, Rostov-on-Don, Russia; e-mail: ibishev22@mail.ru

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