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CC BY-NC-ND 4.0 · Avicenna J Med 2018; 8(02): 51-54
DOI: 10.4103/ajm.AJM_199_17
BRIEF REPORT

Significance of bacteriuria in patients with end-stage renal disease on hemodialysis

Ibrahim Taweel
Department of Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA
,
Norman Beatty
Department of Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA
,
Alexsis Duarte
Department of Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA
,
David Nix
Department of Medicine, College of Medicine; Department of Pharmacy Practice and Science, University of Arizona, Tucson, AZ, USA
,
Kathryn Matthias
Department of Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA
,
Mayar Al Mohajer
Department of Medicine, Baylor College of Medicine, Houston, TX, USA
› Author Affiliations Financial support and sponsorship Nil.
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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


Publication History

Article published online:
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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