Annals of internal medicine
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Practice Guideline
Screening for asymptomatic bacteriuria in adults: U.S. Preventive Services Task Force reaffirmation recommendation statement.
Reaffirmation of the 2004 U.S. Preventive Services Task Force recommendation statement about screening for asymptomatic bacteriuria in adults. ⋯ Screen for asymptomatic bacteriuria with urine culture in pregnant women at 12 to 16 weeks' gestation or at the first prenatal visit, if later. (Grade A recommendation.) Do not screen for asymptomatic bacteriuria in men and nonpregnant women. (Grade D recommendation.).
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Diabetes might affect the vasculature and neural system of the inner ear, leading to hearing impairment. ⋯ Hearing impairment is common in adults with diabetes, and diabetes seems to be an independent risk factor for the condition.
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Asymptomatic bacteriuria is common, and screening for this condition in pregnant women is a well-established, evidence-based standard of current medical practice. Screening other groups of adults has not been shown to improve outcomes. ⋯ The available evidence continues to support screening for asymptomatic bacteriuria in pregnant women, but not in other groups of adults.
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Physicians are uncertain about when to pursue intensive glucose control among older patients with diabetes. ⋯ Among older diabetic patients, the presence of multiple comorbid illnesses or functional impairments is a more important predictor of limited life expectancy and diminishing expected benefits of intensive glucose control than is age alone.