Complications of different methods of urological management in people with neurogenic bladder secondary to spinal cord injury

Cheng, Tsai-Chin; Tseng, Wen-Che; Chou, Chung Tei; Pan, Shin-Liang

doi:10.1080/10790268.2023.2188393

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…Three criteria were used to define UTI in this study: (1) bacteriuria; (2) pyuria; and (3) signs or symptoms suggestive of UTI (16). Common symptoms and signs suggestive of UTI included fever, cloudy urine, bladder pain, spasticity, malaise, new occurrence or aggravation of urinary incontinence, autonomic dysreflexia, and other symptoms suggestive of UTI.…”

Section: Diagnosis Of Urinary Tract Infectionmentioning

confidence: 99%

“…Urinary tract infection (UTI) is a common complication among people with spinal cord injury (SCI) (1). It has been reported that UTIs occur at an overall incidence rate (IR) of 0.68-2.5 events per SCI patient per year (2, 3).…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of UTIs after SCI is related to the method of urine drainage (7,8). Indwelling urethral catheterization (IDC) is most often used in the early phase after an injury, but those with indwelling urethral catheters have a high risk of developing UTIs (1). Intermittent catheterization (IC) is recommended in several clinical guidelines and should be initiated as soon as possible (9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with urinary tract infection in the early phase after performing intermittent catheterization in individuals with spinal cord injury: a retrospective study

Xing,

Dai,

et al. 2023

Front. Med.

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ObjectivesTo investigate the occurrence rate of urinary tract infections (UTIs) in the early phase after performing intermittent catheterization (IC) and to explore the possible factors associated with UTIs after performing IC among people with spinal cord injury (SCI).SettingAn inpatient rehabilitation department of a teaching hospital in China.DesignRetrospective chart review.MethodsA retrospective chart review was carried out for traumatic and non-traumatic SCI patients after performing IC during their inpatient stay. Demographic information, comorbidity of diabetes, urine analysis results before IC, method of IC (sterile or clean), use of bladder irrigation, cessation of IC and its reasons, and UTI events were collected.ResultsA total of 183 adult individuals were included, of which 60 (32.8%) of them were women. The median age was 49.0 years. The median time post-injury was 2 months. The overall occurrence rate of UTI after performing IC was 1.31 (95% confidence intervals: 0.96–1.77) events per 100 days. Sixty-nine (37.7%) patients discontinued IC during hospitalization, and UTIs were the leading reason for cessation (50.7%). Female sex, use of antibiotics for infections other than UTI, and use of bladder irrigation were found to be associated with a lower occurrence rate of UTI in the early phase after performing IC, with an odds ratio of 0.38 (p = 0.019), 0.20 (p = 0.022), and 0.24 (p < 0.001), respectively.ConclusionUTI after performing IC is prevalent among people with SCI. The study indicated that antibiotic prophylaxis and routine bladder irrigation might be associated with the reduction in UTI in the early phase after performing IC. Further research is needed to provide more evidence.

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Section: Diagnosis Of Urinary Tract Infectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors associated with urinary tract infection in the early phase after performing intermittent catheterization in individuals with spinal cord injury: a retrospective study

Xing,

Dai,

et al. 2023

Front. Med.

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Safety of ultrasound-guided percutaneous suprapubic catheter insertion in spinal cord injury patients

Tiburtius,

Fiebag,

Kowald

et al. 2024

Spinal Cord Ser Cases

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Nursing Intervention for the Timing of Catheterization in a Patient with Frequent Abnormal Autonomic Reflexes from Cervical Medullary Injury: A Case Report

Tang,

Wang,

Zhou

2023

Mod Care J

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Introduction: Cervical medullary injury is a severe type of spinal cord injury that can lead to neurogenic bladder and neurogenic rectum, which increases the risk of autonomic dysreflexia (AD) in patients. Autonomic dysreflexia is a common group of clinical syndromes characterized by autonomic dysfunction after spinal cord injury in the T6 or higher level. If left untreated, AD can lead to severe complications such as hypertensive crisis, paroxysms, intracranial hemorrhage, and even death. Nursing interventions are crucial in selecting the timing of catheterization for a patient with frequent AD during intermittent catheterization for cervical medullary injury, enhancing the overall quality of care for patients with cervical medullary injury. Case Presentation: This study focused on a tetraplegic patient with a cervical medullary injury who developed AD during intermittent catheterization. The factors influencing AD during intermittent catheterization were explored through a literature review, urodynamics, and a bladder scanner. The nursing interventions implemented included active control of AD, personalized assessment of the risk of abnormal autonomic dysreflexia, prevention, early identification, acute episode management, precise bladder management, and implementation of a personalized care plan. After 31 days of treatment, the number of AD episodes was significantly reduced, leakage was decreased, and urine volume was controlled in the normal range with good results. The key points of care included timely control of urine output, selection of the best catheterization timing, and other health education methods. The nursing interventions played an active and effective role in maintaining normal bladder function, and the patient resumed regular intermittent catheterization. Conclusions: Nursing interventions are vital in managing patients with cervical medullary injuries who require intermittent catheterization. A comprehensive nursing care plan that includes personalized assessment and management of AD can significantly improve outcomes for these patients and prevent the occurrence of AD, ultimately leading to a better quality of life.

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Complications of different methods of urological management in people with neurogenic bladder secondary to spinal cord injury

Cited by 3 publications

References 26 publications

Factors associated with urinary tract infection in the early phase after performing intermittent catheterization in individuals with spinal cord injury: a retrospective study

Factors associated with urinary tract infection in the early phase after performing intermittent catheterization in individuals with spinal cord injury: a retrospective study

Safety of ultrasound-guided percutaneous suprapubic catheter insertion in spinal cord injury patients

Nursing Intervention for the Timing of Catheterization in a Patient with Frequent Abnormal Autonomic Reflexes from Cervical Medullary Injury: A Case Report

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