Lack of Benefit on Treating Asymptomatic Bacteriuria Prior to Cardiovascular Surgery: a Systematic Review and Meta-Analysis

• Published in: Revista brasileira de cirurgia cardiovascular Vol. 33; no. 6; pp. 641 - 643
• Main Authors: Gómez-Ochoa, Sergio Alejandro, Espín-Chico, Blanca Beatriz
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Cirurgia Cardiovascular 2018
• Subjects: Antibiotics; Asymptomatic Infections; Bacteriuria - drug therapy; CARDIAC & CARDIOVASCULAR SYSTEMS; Cardiac Surgical Procedures; Cardiology; Heart surgery; Humans; Joint surgery; Letter to the Editor; Meta-analysis; Mortality; Postoperative Complications - prevention & control; Preoperative Care - methods; Studies; SURGERY; Systematic review; Urine; Denmark; Ecuador; Colombia; United States > US; Baltimore Maryland
• ISSN: 1678-9741; 0102-7638; 1678-9741
• DOI: 10.21470/1678-9741-2018-0276

[...]in the cardiovascular surgery context there is few evidence about the impact of ASB in the SSI rate, this last has a reported incidence of 1%-10% and confers affected individuals a high risk of mortality, which can reach up to 25% in cases of deep SSI[5,6]. Because of this, there is a substantial need of evaluating the potential role of ASB, in order to create optimal recommendations for the SSI prevention in these patients. The literature search was performed by two authors using the databases Medline, Embase, PubMed, EBSCOHost, SciELO, LILACS and the Cochrane Central Register of Controlled Trials using the following terms: asymptomatic bacteriuria; bacteriuria; nitrites; pyuria; asymptomatic leukocyturia; urine analysis; urinalysis; cardiac surgery; heart surgery; cardiovascular surgery; cardiothoracic surgery. Eligible studies corresponded to randomized controlled trials, cohorts and case-control studies that evaluated the benefit of treating ASB in patients taken to cardiovascular surgery.