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.
Keywords
Dialysis - stewardship - urinary tract infection - urine
