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SHOULD BACTERIURIA BE TREATED?

Bacteriuria is the most common bacterial infection occurring in the female in economically developed countries, and affects 15% to 20% of all females. Bacteriuria Is associated with symptomatic pyelonephritis, premature delivery, excess mortality risk, excess risk of associated renal abnormality, and excess risk of bacteremia. Suggestions of excess risk of hypertension and hypertensive disease of pregnancy are less securely documented, but realistic. Treatment problems differ between the two basic groups of patients with urinary infections: those with and those without evidence of renal involvement. The role of sensitivity testing is reviewed, and some future needs expressed.