Principles of therapy for asymptomatic bacteriuria in pregnant

Медицинский совет

K. B. Kolontarev¹  A. V. Zaitsev¹ 

[1] Moscow State University of Medicine and Dentistry named after A.I. Evdokimov;

关键词: бессимптомная бактериурия;    беременные;    фармакотерапия;    препараты клюквы;    asymptomatic bacteriuria;    pregnant women;    pharmacotherapy;    cranberry products;   

DOI  :  10.21518/2079-701X-2014-9-126-131

来源: DOAJ

【 摘 要 】

Asymptomatic bacteriuria is a common condition occurring in 5-10% of pregnant women. In the absence of therapy, 20-40% of women develop acute pyelonephritis, a severe complication which may cause a variety of problems in pregnancy. The standard method of diagnosis of asymptomatic bacteriuria is urine culture. Urine culture in the first trimester of pregnancy helps to reveal about 80% of cases of asymptomatic bacteriuria. The most common cause of asymptomatic bacteriuria are Gram-negative strains. The article tells about current approaches to antibiotic therapy and alternative treatment for asymptomatic bacteriuria in pregnant women, which remains a common problem today. Careful and reasonable selection of the drug is required first of all to minimize the risk to the fetus. Application of the therapeutic principles based on the recommendations of the leading global professional associations will allow for a safe and effective elimination of bacteria and prevention of serious complications. Further large-scale studies of the effecicay of alternative treatments for asymptomatic bacteriuria in pregnancy are required.

【 授权许可】

Unknown