Asymptomatic bacteriuria in pregnant women: controversial issues and the need to achieve interdisciplinary consensus

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Abstract

Introduction. The review is devoted to the study of modern aspects of the pathogenesis, diagnosis and treatment of asymptomatic bacteriuria (AB). The search was conducted using the Medline, PubMed, EMBASE databases. The literature search data indicate that AB in pregnant women is currently an actively discussed section of modern uroinfection. Currently, there is no consensus on the pathogenetic basis, the need and choice of antimicrobial therapy for AB in pregnant women.

Purpose of the study. Generalization and analysis of world literature data on asymptomatic bacteriuria in pregnant women, study of the feasibility and validity of antibacterial treatment for this treatment.

Conclusions: AB in pregnant women, a physiological, non-pathological state of the body, previous principles of diagnosis and treatment of this condition, are outdated in the context of the development of new diagnostic methods and understanding of the pathogenesis of urinary tract diseases, and do not require the appointment of antibacterial therapy.

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About the authors

Kh. S. Ibishev

Rostov State Medical University

Author for correspondence.
Email: Ibishev22@mail.ru
ORCID iD: 0000-0002-2954-842X

Ph.D., MD, Professor of the Department of Urology and Human Reproductive Health (with a course of pediatric urology and andrology)

Russian Federation, Rostov-on-Don

Z. K. Gadzhieva

Sechenov First Moscow State Medical Univesity (Sechenov University)

Email: zgadzhieva@ooorou.ru

MD, Head of the Department for the Analysis of Personnel Policy, Educational Programs and Scientific Research of the National Medical Research Center on the profile «Urology»

Russian Federation, Moscow

Yu. L. Naboka

Rostov State Medical University

Email: nula33@mail.ru
ORCID iD: 0000-0002-4808-7024

Ph.D., MD, professor, Head of the Department of Microbiology and Virology No.1

Russian Federation, Rostov-on-Don

I V. Moiseeva4

Samara State Medical University

Email: ibishev22@mail.ru
Russian Federation, Samara

I. V. Kosova

Russian Medical Academy of Continuous Professional Education

Email: kosovainga@mail.ru
ORCID iD: 0000-0002-0051-0583

MD, Dr.Sc.(Med); Prof., Dept. of Urology and Surgical Andrology, Russian Medical Academy of Continuous Professional Education; Urologist, Ministry of Health of Russia

Russian Federation, Moscow

A. V. Zaitcev

Russian University of Medicine

Email: zaitcevandrew@mail.ru

Ph.D., MD, professor at the Department of Urology 

Russian Federation, Moscow

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