Do we treat asymptomatic UTI?
Asymptomatic bacteriuria is not normally treated because eradicating the bacteria can be difficult and complications are usually rare. Also, giving antibiotics can alter the balance of bacteria in the body, sometimes allowing bacteria to flourish that are more difficult to eliminate.
Asymptomatic Urinary Tract Infection
Urine is usually sterile, meaning no germs are present in it. It is known that in the urine of 5-10% of women of the fertile generation it is possible to find germs in random urine culture, but without any clinical symptoms. This situation is called asymptomatic urinary tract infection , and there is no distinct health importance for its existence, when there is no pregnancy, except that these women tend to develop urinary bladder infection (Cystitis), for example, after sexual intercourse.
Pregnancy and urinary tract infection asymptomatic
In fact, pregnancy does not increase the likelihood of developing a urinary tract infection asymptomatic, but as a result of anatomical, biochemical and hormonal changes during pregnancy, and without any treatment, one in four women (25%) will develop pyelonephritis during her pregnancy, which is a disease Especially dangerous and important during pregnancy. The disease is considered difficult and sometimes forces a woman to be hospitalized and to receive intravenous antibiotics. As a result of anatomical, biochemical and hormonal changes during pregnancy, the incidence of nephritis increases.
Complications of the disease during pregnancy
The course of the disease is more difficult during pregnancy, and carries other dangerous meanings for the mother and the fetus alike. In approximately 10% of pregnant women, nephritis may be associated with inflammation of the lungs, to the point of acute respiratory failure and the need to use mechanical ventilation, which also leads to death. In addition, in the presence of nephritis the rate of premature birth increases , and as a result there is a significant increase in the disease and death of newborns, due to prematurity. Therefore, all efforts must be made to prevent this disease during pregnancy.
In light of these facts, a urine culture test is performed for each woman immediately at the beginning of pregnancy, to discover the possibility of developing asymptomatic urinary tract infection, which does not have clinical symptoms.
There are those who repeat this examination again in the middle of pregnancy.
Asymptomatic urinary tract infection symptoms
UTI symptoms are characterized by urgency, frequency and pain when urinating. Sometimes the infection may develop into nephritis, which is characterized by a high temperature and pain in the flanks.
Asymptomatic Urinary Tract Infection Treatment
If a urinary tract infection (a positive urine culture) is detected, antibiotics for a urinary tract infection are needed. The treatment of a urinary tract infection is given orally, depending on the sensitivity of the germ, either through one meal in a large dose or over a week. It is important to ensure that urine has been sterilized with the help of a urine culture after treating a urinary tract infection. It is important in these cases to implant urine for review once a month, and if the phenomenon is observed again, then it is necessary to offer preventive treatment by means of antibiotics until the end of pregnancy.