Sandbox: sadaf

Differentiating Asymptomatic Bacteriuria From Other Diseases

Asymptomatic Bacteriuria must be differentiated from other diseases that might cause bacteriuria.^[1]^[2]^[3]^[4]

To review differential diagnosis of pyuria, click here.

To review differential diagnosis of sterile pyuria, click here.

Category	Disease			Clinical manifestations									Para−clinical findings								Gold standard for diagnosis	Associated findings
				Symptoms							Physical examination		Para−clinical findings
				Symptoms							Physical examination		Lab Findings							Imaging
				Pain	Fever	N/V	Urinary symptoms				BP	Other	CBC	Electrolytes	Urinalysis
				Pain	Fever	N/V	Dysuria	Frequency	Urgency	Gross hematuria	BP	Other	CBC	Electrolytes	Cell	Cast	Bacteriuria	Culture	Other
Infectious diseases	UTI^[5]	Bacterial	Asymptomatic bacteriuria^[6]^[7]	−	−	−	−	−	−	−	Nl	−	Nl	Nl	±	−	+	−	NA	NA	Urinalysis	Increased risk in pregnancy Must be treated prior to an invasive urologic procedure
			Cystitis^[8]	−	−	−	+	+	+	−	Nl	−	Nl	Nl	+	−	+	+	Nitrite + Leukocyte esterase +	NA	Urinalysis	NA
			Pyelonephritis^[9]	+	+	+	+	+	+	−	Nl	−	Leukocytosis	Nl	+	WBC cast	+	+	Nitrite + Leukocyte esterase +	NA	Clinical manifestation + urinalysis	NA
		Prostatitis^[10]		Pelvic or perineal pain	+	+	+	+	+	−	Nl or ↑	Dribbling of urine Firm and tender prostate	Leukocytosis	Nl	+	−	±	+	Cloudy urine Positive gram stain	NA	Clinical manifestation + urinalysis	Increased risk of bacteremia, prostatic abscess, and metastatic infection Might be acute or chronic infection
	Balanitis^[11]			Penile pain	+	−	+	+	+	−	Nl	Pruritus Erythematous lesions on the glans and/or the foreskin	Nl	Nl	+	−	±	−	NA	NA	Clinical manifestation	Associated with reactive arthritis
Non−infectious diseases	Urinary tract disorders	Urinary catheterization^[12]		−	−	−	+	+	−	−	Nl	−	Leukocytosis ±	Nl	+	−	+	+	Leukocyte esterase ±	−	Clinical manifestation + urinalysis	Predicting UTI in children who required clean intermittent catheterization by routine urinalysis
Non−infectious diseases	Disease			Pain	Fever	N/V	Dysuria	Frequency	Urgency	Gross hematuria	BP	Other PE	CBC	Electrolytes	Cell	Cast	Bacteriuria	Culture	Other UA findings	Imaging	Gold standard for diagnosis	Associated findings

↑ Wise, Gilbert J.; Longo, Dan L.; Schlegel, Peter N. (2015). "Sterile Pyuria". New England Journal of Medicine. 372 (11): 1048–1054. doi:10.1056/NEJMra1410052. ISSN 0028-4793.
↑ Stamm, Walter E. (1983). "Measurement of pyuria and its relation to bacteriuria". The American Journal of Medicine. 75 (1): 53–58. doi:10.1016/0002-9343(83)90073-6. ISSN 0002-9343.
↑ Groah, Suzanne; Perez-Losada, Marcos; Caldovic, Ljubica; Ljungberg, Inger; Sprague, Bruce; Castro-Nallar, Eduardo; Shah, Neel; Hsieh, Michael; Pohl, Hans (2015). "MP20-08 PYURIA AND ASYMPTOMATIC BACTERIURIA IS ASSOCIATED WITH NOVEL AND SPECIFIC URINE MICROBIOMES". The Journal of Urology. 193 (4): e226. doi:10.1016/j.juro.2015.02.980. ISSN 0022-5347.
↑ Shaikh, N.; Shope, T. R.; Hoberman, A.; Vigliotti, A.; Kurs-Lasky, M.; Martin, J. M. (2016). "Association Between Uropathogen and Pyuria". PEDIATRICS. 138 (1): e20160087–e20160087. doi:10.1542/peds.2016-0087. ISSN 0031-4005.
↑ Neal DE (February 2008). "Complicated urinary tract infections". Urol. Clin. North Am. 35 (1): 13–22, v. doi:10.1016/j.ucl.2007.09.010. PMID 18061020.
↑ Nicolle, Lindsay E. (2014). "Asymptomatic bacteriuria". Current Opinion in Infectious Diseases. 27 (1): 90–96. doi:10.1097/QCO.0000000000000019. ISSN 0951-7375.
↑ Nicolle, Lindsay E. (2015). "Asymptomatic Bacteriuria and Bacterial Interference". Microbiology Spectrum. 3 (5). doi:10.1128/microbiolspec.UTI-0001-2012. ISSN 2165-0497.
↑ Sabih A, Leslie SW. PMID 28613784. Missing or empty |title= (help)
↑ Pietrucha-Dilanchian P, Hooton TM (December 2016). "Diagnosis, Treatment, and Prevention of Urinary Tract Infection". Microbiol Spectr. 4 (6). doi:10.1128/microbiolspec.UTI-0021-2015. PMID 28087935.
↑ Wagenlehner FM, Pilatz A, Bschleipfer T, Diemer T, Linn T, Meinhardt A, Schagdarsurengin U, Dansranjavin T, Schuppe HC, Weidner W (August 2013). "Bacterial prostatitis". World J Urol. 31 (4): 711–6. doi:10.1007/s00345-013-1055-x. PMID 23519458.
↑ Hsu CY, Lin CL, Kao CH (May 2015). "Balanitis is a risk factor for herpes zoster". Eur. J. Clin. Microbiol. Infect. Dis. 34 (5): 985–90. doi:10.1007/s10096-015-2314-0. PMID 25596845.
↑ Forster, C.S.; Haslam, D.B.; Jackson, E.; Goldstein, S.L. (2017). "Utility of a routine urinalysis in children who require clean intermittent catheterization". Journal of Pediatric Urology. 13 (5): 488.e1–488.e5. doi:10.1016/j.jpurol.2017.01.016. ISSN 1477-5131.

[WiseLongo2015-1] Wise, Gilbert J.; Longo, Dan L.; Schlegel, Peter N. (2015). "Sterile Pyuria". New England Journal of Medicine. 372 (11): 1048–1054. doi:10.1056/NEJMra1410052. ISSN 0028-4793.

[Stamm1983-2] Stamm, Walter E. (1983). "Measurement of pyuria and its relation to bacteriuria". The American Journal of Medicine. 75 (1): 53–58. doi:10.1016/0002-9343(83)90073-6. ISSN 0002-9343.

[GroahPerez-Losada2015-3] Groah, Suzanne; Perez-Losada, Marcos; Caldovic, Ljubica; Ljungberg, Inger; Sprague, Bruce; Castro-Nallar, Eduardo; Shah, Neel; Hsieh, Michael; Pohl, Hans (2015). "MP20-08 PYURIA AND ASYMPTOMATIC BACTERIURIA IS ASSOCIATED WITH NOVEL AND SPECIFIC URINE MICROBIOMES". The Journal of Urology. 193 (4): e226. doi:10.1016/j.juro.2015.02.980. ISSN 0022-5347.

[ShaikhShope2016-4] Shaikh, N.; Shope, T. R.; Hoberman, A.; Vigliotti, A.; Kurs-Lasky, M.; Martin, J. M. (2016). "Association Between Uropathogen and Pyuria". PEDIATRICS. 138 (1): e20160087–e20160087. doi:10.1542/peds.2016-0087. ISSN 0031-4005.

[pmid18061020-5] Neal DE (February 2008). "Complicated urinary tract infections". Urol. Clin. North Am. 35 (1): 13–22, v. doi:10.1016/j.ucl.2007.09.010. PMID 18061020.

[Nicolle2014-6] Nicolle, Lindsay E. (2014). "Asymptomatic bacteriuria". Current Opinion in Infectious Diseases. 27 (1): 90–96. doi:10.1097/QCO.0000000000000019. ISSN 0951-7375.

[Nicolle2015-7] Nicolle, Lindsay E. (2015). "Asymptomatic Bacteriuria and Bacterial Interference". Microbiology Spectrum. 3 (5). doi:10.1128/microbiolspec.UTI-0001-2012. ISSN 2165-0497.

[pmid28613784-8] Sabih A, Leslie SW. PMID 28613784. Missing or empty |title= (help)

[pmid28087935-9] Pietrucha-Dilanchian P, Hooton TM (December 2016). "Diagnosis, Treatment, and Prevention of Urinary Tract Infection". Microbiol Spectr. 4 (6). doi:10.1128/microbiolspec.UTI-0021-2015. PMID 28087935.

[pmid23519458-10] Wagenlehner FM, Pilatz A, Bschleipfer T, Diemer T, Linn T, Meinhardt A, Schagdarsurengin U, Dansranjavin T, Schuppe HC, Weidner W (August 2013). "Bacterial prostatitis". World J Urol. 31 (4): 711–6. doi:10.1007/s00345-013-1055-x. PMID 23519458.

[pmid25596845-11] Hsu CY, Lin CL, Kao CH (May 2015). "Balanitis is a risk factor for herpes zoster". Eur. J. Clin. Microbiol. Infect. Dis. 34 (5): 985–90. doi:10.1007/s10096-015-2314-0. PMID 25596845.

[ForsterHaslam2017-12] Forster, C.S.; Haslam, D.B.; Jackson, E.; Goldstein, S.L. (2017). "Utility of a routine urinalysis in children who require clean intermittent catheterization". Journal of Pediatric Urology. 13 (5): 488.e1–488.e5. doi:10.1016/j.jpurol.2017.01.016. ISSN 1477-5131.

[1]

[2]

[3]

[4]

[5]

[6]

[7]

[8]

[9]

[10]

[11]

[12]

Sandbox: sadaf

Differentiating Asymptomatic Bacteriuria From Other Diseases

Navigation menu

Search