TY - JOUR T1 - INtravesical bacille calmette-guérin in patients with asymptomatic bacteriuria AU - Herr HW Y1 - 2011/04/13 N1 - 10.1001/jama.2011.428 JO - JAMA SP - 1413 EP - 1414 VL - 305 IS - 14 N2 - To the Editor: Asymptomatic bacteriuria is common in adults and does not require treatment.1 Practice guidelines, however, recommend antibiotics to sterilize the urine before urological procedures.2 Although intravesical bacille Calmette-Guérin (BCG) therapy for high-risk superficial bladder cancer is not specifically mentioned, urologists are reluctant to administer BCG to infected patients because of a possible risk of bacterial or BCG sepsis or an abrogated response to BCG.3 On the other hand, antibacterial treatment of asymptomatic bacteriuria leads to treatment delay and promotes antibiotic resistance. This study investigated whether intravesical BCG is safe and effective in bladder cancer patients with asymptomatic bacteriuria. SN - 0098-7484 M3 - doi: 10.1001/jama.2011.428 UR - http://dx.doi.org/10.1001/jama.2011.428 ER -