Assessment of The Effectiveness of Complex Therapy for Asymptomatic Bacteriuria in Reducing Gestational Complications

Asymptomatic bacteriuria in pregnant women retains high clinical significance, as even in the absence of pronounced symptoms it may be associated with ascending urinary tract infection, the development of pyelonephritis, as well as adverse obstetric and neonatal outcomes. According to recent reviews and meta-analyses, the prevalence of this condition in different populations of pregnant women remains variable and often reaches significant epidemiological levels, which confirms the relevance of the problem for antenatal care systems. Current clinical guidelines continue to consider early detection of asymptomatic bacteriuria as an important component of pregnancy management; however, in recent years increasing attention has been paid to the need for rational use of antibacterial therapy in the context of growing antimicrobial resistance. In this regard, further study of timely diagnostic approaches, prevention of complications, and optimization of treatment strategies for asymptomatic bacteriuria in pregnant women appears to be a justified and practically significant direction in obstetric science and clinical practice.

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