Clinical Practice Guidelines for Asymptomatic Bacteriuria (ASB) Essay

Asymptomatic bacteriuria as the name implies means the presence of bacteria in the urine at significant quantitative populations but without producing obvious and visible urinary tract infection symptoms (Nicolle et al., 2019; van Paridon, 2019). Because of antibiotic resistance and other issues, nurses and especially nurse practitioners increasingly require to follow evidence-based practice guidelines when managing asymptomatic bacteriuria (Velez et al., 2017). Clinical Practice Guidelines for Asymptomatic Bacteriuria (ASB) Essay.

I searched for the topic of asymptomatic bacteriuria online to try and find out if there are any clinical practice guidelines available for its management. This is the topic I looked for in the clinical practice guidelines that I found. It was not difficult to find the guidelines. As a matter of fact, a simple Google search yielded results that contained the clinical guidelines with the topic of asymptomatic bacteriuria that I was looking for. The most comprehensive clinical guidelines found for ASB was that by the Infectious Disease Society of America (IDSA). The article by Velez et al. (2017) in the Journal for Nurse Practitioners was also found to have very helpful guidelines for the nurse practitioner on the management of ASB. The recommendations in the clinical practice guidelines that I did not know included that (Nicolle et al., 2019):

• Asymptomatic bacteriuria should neither be screened for nor treated in children. This is because only low quality evidence supports this.
• Healthy non-pregnant women should not be screened or treated for ASB. This is because only moderate quality evidence exists to support this practice.
• Patients with diabetes should not be screened or treated for ASB. Clinical Practice Guidelines for Asymptomatic Bacteriuria (ASB) Essay.

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The sites that I found are:

1. Infectious Disease Society of America (IDSA): https://www.idsociety.org/practice-guideline/asymptomatic-bacteriuria/
2. The Journal for Nurse Practitioners (JNP): https://www.npjournal.org/article/S1555-4155(17)30635-9/abstract

• Infectious Disease Advisor: https://www.infectiousdiseaseadvisor.com/home/topics/emerging-diseases/antibiotics-antimicrobial-resistance/updated-guidelines-for-the-management-of-asymptomatic-bacteriuria/

References

Nicolle,  L.E., Gupta, K., Bradley, S.F., Colgan, R., DeMuri, G.P., Drekonja, D., Eckert, L.O., Geerlings, S.E., Köves, B., Hooton, T.M., Juthani-Mehta, M., Knight, S.L., Saint, S., Schaeffer, A.J., Trautner, B., Wullt, B., & Siemieniuk, R. (2019). Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 68(10), e83-e110. https://doi.org/10.1093/cid/ciy1121

Van Paridon, B. (April 5, 2019). Updated guidelines for the management of asymptomatic bacteriuria. https://www.infectiousdiseaseadvisor.com/home/topics/emerging-diseases/antibiotics-antimicrobial-resistance/updated-guidelines-for-the-management-of-asymptomatic-bacteriuria/

Velez, R., Richmond, E., & Dudley-Brown, S. (2017). Antibiogram, clinical practice guidelines, and treatment of urinary tract infections. The Journal for Nurse Practitioners, 13(9), 617-622. https://doi.org/10.1016/j.nurpra.2017.07.016

Purpose: To expose you to clinical practice guidelines. Clinical practice guidelines (CPG) are “systematically developed statements to assist practitioner decisions about appropriate health care for specific clinical circumstances.” Guidelines can be used to reduce inappropriate variations in practice and to promote the delivery of high quality, evidence-based health care.Clinical Practice Guidelines for Asymptomatic Bacteriuria (ASB) Essay.  They may also provide a mechanism by which healthcare professionals can be made accountable for clinical activities. Although most of the development and evaluation of CPG has occurred in the field of medicine, nurses are becoming more interested in the use of guidelines as one means of facilitating evidence-based practice.  Thomas L Clinical practice guidelines Evidence-Based Nursing 1999;2:38-39

Tasks: Search online for clinical practice guidelines applicable to your BSN nursing practice problem you are interested in during this semester.

What topic did you look for within the CPG? Was it difficult to find? What did the CPG say that you did not know?

What sites did you find? List at three (3) not listed below.

Other sites you may find are as follows:

• •  Guideline Summaries (Links to an external site.)
  • American Association of Neuroscience Nurses  (Links to an external site.)
  • National Guidelines Clearinghouse  (Links to an external site.)
  • Emergency Nurses Association  (Links to an external site.)
  • Registered Nurse Association of Ontario (Links to an external site.)

Have you used any of the guidelines before? Clinical Practice Guidelines for Asymptomatic Bacteriuria (ASB) Essay.