Early urinary tract infection after spinal cord injury: a retrospective inpatient cohort study

Goodes, Louise M; King, Gabrielle K.; Rea, Alethea; Murray, Kevin; Boan, Peter; Watts, Anne; Bardsley, Jen; Hartshorn, Carly; Thavaseelan, Jeffrey; Rawlins, Matthew; Brock, James A.; Dunlop, Sarah

doi:10.1038/s41393-019-0337-6

Cited by 14 publications

(3 citation statements)

References 33 publications

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“…The length of hospitalisation was greater in patients with UTI, which was consistent with other studies (Conradsson et al, 2019;Evans et al, 2008;Goodes et al, 2020;Sekulic et al, 2015).…”

Section: Relationships Between Length Of Hospitalisation and Utisupporting

confidence: 91%

“…Current guidelines for patients with SCI recommend regular, complete emptying of the bladder to reduce UTI risk due to urinary retention. Therefore, maintaining bladder volumes <500 cc has been considered the best practice for patients with SCI (Böthig et al, 2017;Goodes et al, 2020;Middleton et al, 2014). Additionally, nursing management is critical in terms of hygienic methods of care.…”

Section: Factors Affecting Utimentioning

confidence: 99%

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Incidence and risk factors of urinary tract infections in hospitalised patients with spinal cord injury

Kim

Cho

et al. 2021

Journal of Clinical Nursing

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Aims and objectives: To investigate the incidence of urinary tract infection and analyse its risk factors among hospitalised patients with spinal cord injury.Background: While the incidence of urinary tract infection varies widely according to the healthcare setting and patients' clinical characteristics, formal reports are limited in quantity. There has been no consensus regarding the risk factors for urinary tract infection.Design: A retrospective descriptive study.Methods: Electronic medical records of 964 subjects between 2010-2017 were reviewed. Urinary tract infection status was examined to identify newly occurred cases.Data included demographic and clinical characteristics, hydration status and length of hospitalisation. The reporting of the study followed the EQUATOR Network's STROBE checklist.Results: Of the sample, 31.7% had urinary tract infection (95% confidence interval:1.288 to 1.347, p < .001). Sex, completeness of injury, type of bladder emptying, detrusor function and urethral pressure were significant factors affecting urinary tract infection. Patients who were male and those with injury classifications A, B and C had higher risk of urinary tract infection. Patients with urinary or suprapubic indwelling catheters, as well as those with areflexic detrusor combined with normotonic urethral pressure or overactive detrusor combined with normotonic urethral pressure, showed higher risk. Length of hospitalisation in patients with urinary tract infection was greater than that in uninfected patients, which implies the importance of prevention of urinary tract infection. Conclusions: Nurses should carefully assess risk factors to prevent urinary tract infection in patients with spinal cord injury in the acute and sub-acute stages of the disease trajectory and provide individualised nursing care. Relevance to clinical practice: This study contributes evidence for up-to-date clinical nursing practice for the comprehensive management of urinary tract infection. This can lead to improvements in nursing care quality and patient outcomes, including length of hospitalisation. | 2069 KIM et al. | INTRODUC TI ONUrinary tract infection (UTI) is currently the most common infection following spinal cord injury (SCI) (

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“…The length of hospitalisation was greater in patients with UTI, which was consistent with other studies (Conradsson et al, 2019;Evans et al, 2008;Goodes et al, 2020;Sekulic et al, 2015).…”

Section: Relationships Between Length Of Hospitalisation and Utisupporting

confidence: 91%

Section: Factors Affecting Utimentioning

confidence: 99%

Incidence and risk factors of urinary tract infections in hospitalised patients with spinal cord injury

Kim

Cho

et al. 2021

Journal of Clinical Nursing

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“…SCI profoundly imperils the physiological systems, such as cardiovascular and immune systems [ 3 ]. The clinical complications of SCI include urinary tract infections, autonomic dysreflexia, sudden hypertension, and other symptoms caused by neuroinflammation [ 4 – 7 ]. Although SCI is a severe condition, its complete remedy is still lacking [ 8 ] because of the complex injury mechanisms.…”

Section: Introductionmentioning

confidence: 99%

Resveratrol Can Attenuate Astrocyte Activation to Treat Spinal Cord Injury by Inhibiting Inflammatory Responses

et al. 2021

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Several preclinical and clinical studies have attempted to elucidate the pathophysiological mechanism associated with spinal cord injury. However, investigations have been unable to define the precise related mechanisms, and this has led to the lack of effective therapeutic agents for the condition. Neuroinflammation is one of the predominant processes that hinder spinal cord injury recovery. Resveratrol is a compound that has several biological features, such as antioxidation, antibacterial, and antiinflammation. Herein, we reviewed preclinical and clinical studies to delineate the role of toll-like receptors, nod-like receptors, and astrocytes in neuroinflammation. In particular, the alteration of astrocytes in SCI causes glial scar formation that impedes spinal cord injury recovery. Therefore, to improve injury recovery would be to prevent the occurrence of this process. Resveratrol is safe and effective in the significant modulation of neuroinflammatory factors, particularly those mediated by astrocytes. Thus, its potential ability to enhance the injury recovery process and ameliorate spinal cord injury.

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Quality of in-hospital care in traumatic spinal column and cord injuries (TSC/SCI) in I.R Iran

Sadeghi-Naini,

Jazayeri,

Kankam

et al. 2023

Eur Spine J

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Early urinary tract infection after spinal cord injury: a retrospective inpatient cohort study

Cited by 14 publications

References 33 publications

Incidence and risk factors of urinary tract infections in hospitalised patients with spinal cord injury

Incidence and risk factors of urinary tract infections in hospitalised patients with spinal cord injury

Resveratrol Can Attenuate Astrocyte Activation to Treat Spinal Cord Injury by Inhibiting Inflammatory Responses

Quality of in-hospital care in traumatic spinal column and cord injuries (TSC/SCI) in I.R Iran

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