Epidemiology and Risk Factors for Urinary Tract Infection in Patients With Spinal Cord Injury

Ruz, Ana Esclarín de; Leoni, E.; Cabrera, Rafael

doi:10.1016/s0022-5347(05)67157-1

Cited by 263 publications

(95 citation statements)

References 13 publications

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“…It was the only significant and independent risk factor for NI in our study (OR: 11.64), and is a well-established risk factor for UTI in SCI patients. 13 Chronic kidney or liver disease and SCI were only marginally significant (OR: 5.84 and 2.97, respectively). The larger number of risk factors in SCI patients explained the higher NI prevalence rate, as reported in other studies.…”

Section: Discussionmentioning

confidence: 92%

“…The larger number of risk factors in SCI patients explained the higher NI prevalence rate, as reported in other studies. 8,9,13 Risk factors vary between published studies but are always related to SCI. In the study by Esclarin de Ruz et al, the risk factors were age, injury level, hyper-reflexic bladder with detrusor-sphincter dyssynergia, dependency level and bladder catheterization.…”

Section: Discussionmentioning

confidence: 99%

“…In the study by Esclarin de Ruz et al, the risk factors were age, injury level, hyper-reflexic bladder with detrusor-sphincter dyssynergia, dependency level and bladder catheterization. 13 In the study by Papia et al, significant risk factors were SCI, ventilation, vascular catheterization, surgery and transfusions. 8 In the study by Mylotte et al, the risk factors were SCI, APACHE score and dependency level.…”

Section: Discussionmentioning

confidence: 99%

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High prevalence of nosocomial infections in rehabilitation units accounted for by urinary tract infections in patients with spinal cord injury

Girard

Mazoyer

Plauchu

et al. 2006

Journal of Hospital Infection

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

High prevalence of nosocomial infections in rehabilitation units accounted for by urinary tract infections in patients with spinal cord injury

Girard

Mazoyer

Plauchu

et al. 2006

Journal of Hospital Infection

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“…An indwelling urethral catheter increases the risks of UTI, renal impairment, bladder stone formation, urethral stricture, urethral erosion, and bladder cancer 54,55. A study of patients with SCI-neurogenic bladder dysfunction who were followed for more than 20 years indicated that indwelling catheters, whether suprapubic or urethral, were associated with increased prevalence of upper tract scarring and caliectasis when compared with CIC, sphincterotomy, or vesicostomy.…”

Section: Conservative Managementmentioning

confidence: 99%

Neurogenic bladder in spinal cord injury patients

Taweel

Seyam

2015

RRU

171

182

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Neurogenic bladder dysfunction due to spinal cord injury poses a significant threat to the well-being of patients. Incontinence, renal impairment, urinary tract infection, stones, and poor quality of life are some complications of this condition. The majority of patients will require management to ensure low pressure reservoir function of the bladder, complete emptying, and dryness. Management typically begins with anticholinergic medications and clean intermittent catheterization. Patients who fail this treatment because of inefficacy or intolerability are candidates for a spectrum of more invasive procedures. Endoscopic managements to relieve the bladder outlet resistance include sphincterotomy, botulinum toxin injection, and stent insertion. In contrast, patients with incompetent sphincters are candidates for transobturator tape insertion, sling surgery, or artificial sphincter implantation. Coordinated bladder emptying is possible with neuromodulation in selected patients. Bladder augmentation, usually with an intestinal segment, and urinary diversion are the last resort. Tissue engineering is promising in experimental settings; however, its role in clinical bladder management is still evolving. In this review, we summarize the current literature pertaining to the pathology and management of neurogenic bladder dysfunction in patients with spinal cord injury.

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“…However, Pseudomonas, Enterobacter, or Acinetobacter may use the intraluminal route from the collection bag. Esclarin de Ruz et al (13) found that SCI patients had more risk factors, but the only independent significant factor was indwelling catheterization. In this study, the risk factors were age, injury level, hyper-reflexic bladder with detrusor-sphincter dyssynergia, dependency level, and bladder catheterization.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Nosocomial Urinary Tract Infections with Spinal Cord Injury Patients in a Rehabilitation Setting

Yılmaz¹,

Yavuz²,

Adıgüzel³

2014

Turk J Phys Med Rehab

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Objective: To define the distribution and antibiotic susceptibility of nosocomial urinary tract infections (NAUTIs) in patients with spinal cord injury (SCI). Material and Methods: Records of the spinal cord injured patients were reviewed for NAUTIs between 2008 and 2010. Antibiotic resistance rates and factors that might affect urinary tract infection susceptibility were investigated retrospectively. Results: The data of 276 patients were included, of whom 159 were acute SCI patients and 117 were chronic SCI patients; 166 (61%) infections were asymptomatic bacteriuria (ASB), and 110 (39%) infections were symptomatic urinary tract infections (SUTIs). In patients with acute SCI, E. coli was the most frequently isolated pathogen of SUTIs, followed by Pseudomonas. In patients with chronic SCI, E. coli was the most frequently isolated pathogen in SUTIs and ASBs. There was no statistically significant difference in the rates of NAUTI (ASB and SUTI) between acute and chronic SCI patients in terms of bladder drainage method. The susceptibility ratios for E. coli were very low in both acute and chronic SCI patients using Foley catheters. Although the susceptibility ratios for E. coli were not that low in SCI patients using clean intermittent catheterization, the resistance ratios were higher than 50% for most of the uropathogens. Conclusion: These results reveal a blunt truth that the treatment of NAUTIs will be a great challenge in near future. Kronik SKY hastalarda SUTI ve ASB için en sık izole edilen patojen E. coli idi. Mesane boşaltım yöntemi dikkate alındığında, akut ve kronik SKY hastalar arasında NAUTI (ASB ve SUTI) dağılımı açısından anlamlı bir fark yoktu. Foley kateter kullanan akut ve kronik SKY hastalarda E. coli duyarlılık oranları çok düşüktü. Temiz aralıklı kateterizasyon uygulanan hastalarda duyarlılık oranları o kadar düşük olmasa da, direnç oranları üropatojenlerin çoğu için %50'nin üzerindeydi. Sonuç: Bu sonuçlar, nozokomiyal üriner sistem infeksiyonlarının tedavisinin yakın gelecekte ne kadar büyük bir sorun olacağı konusundaki gerçeği ortaya koymaktadır. Anahtar Kelimeler: Spinal kord yaralanması, nozokomiyal üriner sistem infeksiyonu, rehabilitasyon

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Epidemiology and Risk Factors for Urinary Tract Infection in Patients With Spinal Cord Injury

Abstract: Spinal cord injured patients with complete dependence and vesicoureteral reflux are at highest risk for urinary tract infection.

Cited by 263 publications

References 13 publications

High prevalence of nosocomial infections in rehabilitation units accounted for by urinary tract infections in patients with spinal cord injury

High prevalence of nosocomial infections in rehabilitation units accounted for by urinary tract infections in patients with spinal cord injury

Neurogenic bladder in spinal cord injury patients

Retrospective Analysis of Nosocomial Urinary Tract Infections with Spinal Cord Injury Patients in a Rehabilitation Setting

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