Factors Related to the Occurrence of Urinary Tract Infection Following a Urodynamic Study in Patients With Spinal Cord Injury

Hwang, Sung Il; Lee, Bum Suk; Han, Zee-A; Lee, Hye Jin; Han, Sang Hoon; Kim, Myeong Ok

doi:10.5535/arm.2016.40.4.718

Cited by 11 publications

(8 citation statements)

References 19 publications

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“…In fact, we have found, both in univariate and multivariate analyses, three times more chance of occurrence of UTI after the UDS in patients with an injury that is T6 or higher, in relation to those with an injury that is T7 or lower. It is also interesting to highlight that the extent of SCI, here evaluated through the ASIA Impairment Scale, has not influenced this result, as already described on a previous study (15).…”

Section: Discussionsupporting

confidence: 73%

“…It is known that patients with tetraplegia require greater daily care, which often involves hiring caregivers, increasing the general risk of UTI, although not specifically with regard to the UDS (15). A possible explanation for the higher incidence of UTI in patients with a T6 level injury or higher could reside on a bladder ischemia that would occur in two situations: increase in the intravesical pressure (low complacency and / or high detrusor pressure) or when there is vesical hyperdistension (16).…”

Section: Discussionmentioning

confidence: 99%

“…The possibility of autonomic dysreflexia to interact with these phenomena should be considered. A study with 140 patients has shown by logistic regression a slight association between autonomic dysreflexia and UTI after UDS in patients with SCI (15). We highlight that in our univariate and multivariate analyses the use of antimicrobials has not prevented this higher chance of UTI to occur after UDS.…”

Section: Discussionmentioning

confidence: 99%

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Antibiotic prophylaxis prior to urodynamic study in patients with traumatic spinal cord injury. Is there an indication?

Silva¹,

Barboza²,

Pijoán

et al. 2019

Int. braz j urol.

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Study design: Retrospective cohort of patients with traumatic spinal cord injury (SCI) that have been hospitalized for physical-functional rehabilitation purposes. Objectives: To compare the incidence of urinary tract infection (UTI) after urodynamic study (UDS) in three hospitals that adopted different protocols with regard to the preparation of patients. Setting: Sarah Network of Rehabilitation Hospitals, Brazil. Materials and Methods: Between 2014 and 2015, 661 patients from three units of the same hospital network, one of which does not use antimicrobial prophylaxis independently of urine culture results, were evaluated after having undergone UDS. The results were compared in both univariate and multivariate analyses (logistic regression). Results: The global rate of UTI after UDS was that of 3.18% (IC 95% 2.1-4.8), with no differences between the units. In the univariate analysis the only variable that was associated with UTI after UDS was that of T6 injuries or above (P = 0.029). The logistic regression has confirmed this result, with an adjusted odds ratio of 3.06 (IC 95% 1.01 to 9.26; P = 0.0476). The use of antimicrobial prophylaxis did not alter that risk. Conclusions: This study has demonstrated that the use of antimicrobials does not prevent UTI after UDS. Patients with T6 traumatic SCI or above have got three times more chance of developing UTI after UDS if compared to those with a T7 injury or below, independently of the use of antimicrobials. Even in these patients the use of antimicrobials would not be justified.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Antibiotic prophylaxis prior to urodynamic study in patients with traumatic spinal cord injury. Is there an indication?

Silva¹,

Barboza²,

Pijoán

et al. 2019

Int. braz j urol.

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“…Urodynamic investigations are by far the most commonly used method for bladder evaluation, it is believed to increase the risk for UTIs, and therefore, the American Urological association suggests that high risk patients with neurogenic lower urinary tract dysfunction should receive antibiotic prophylaxis for UTI prophylaxis [72]. Data from a recent SCI study found that a history of UTI within the past 4 weeks prior to the urodynamic investigation increased the risk for a new UTI [73].…”

Section: The Model: Local Urinary Tract Conditionsmentioning

confidence: 99%

Adult Neurogenic Lower Urinary Tract Dysfunction and Intermittent Catheterisation in a Community Setting: Risk Factors Model for Urinary Tract Infections

Kennelly

Thiruchelvam

Averbeck

et al. 2019

Advances in Urology

117

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A risk factor model for urinary tract infections in patients with adult neurogenic lower urinary tract dysfunction performing clean intermittent catheterisation was developed; it consists of four domains, namely, (1) general (systemic) conditions in the patient, (2) individual urinary tract conditions in the patient, (3) routine aspects related to the patient, and (4) factors related to intermittent catheters per se. The conceptual model primarily concerns patients with spinal cord injury, spina bifida, multiple sclerosis, or cauda equina where intermittent catheterisation is a normal part of the bladder management. On basis of several literature searches and author consensus in case of lacking evidence, the model intends to provide an overview of the risk factors involved in urinary tract infections, with specific emphasis to describe those that in daily practice can be handled and modified by the clinician and so come to the benefit of the individual catheter user in terms of fewer urinary tract infections.

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“…Use of a standard format is essential for combining data from multiple investigators and locations. The SCI Urodynamic Data Set seems to be well suited for this purpose, as its first version has already been used in several studies [14][15][16][17] and has been translated into Chinese [https://www. iscos.org.uk//international-sci-urodynamic-data-sets].…”

Section: Discussionmentioning

confidence: 99%

International spinal cord injury urodynamic basic data set (version 2.0)

Pannek

Kennelly

Kessler

et al. 2018

Spinal Cord Ser Cases

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Study design: Revision, review, and presentation of the International Spinal Cord Injury (SCI) Urodynamic Basic Data Set (version 2.0). Objectives: Describe the revision and review and present the dataset. Setting: International. Methods: The first version of the dataset was revised according to new knowledge and suggestions. The review included International SCI Data Sets Committee, American Spinal Injury Association (ASIA) board, International Spinal Cord Society (ISCoS) executive and scientific committees, major organizations, and interested individuals. The dataset was also on ASIA and ISCoS websites. All replies were answered and appropriate adjustments made. Finally, the dataset was endorsed by ASIA board, and ISCoS executive and scientific committees. Results: Among revisions are adoptions of new terminology by the International Continence Society. The variable "Detrusor function" has been divided into "Detrusor function during filling cystometry" and "Detrusor function during voiding". The response categories have been adjusted, deleting 'Not applicable' for the variables "Detrusor leak point pressure during filling cystometry", "Cystometric bladder capacity during filling cystometry" and "Urethral function during voiding". The cutoff-value for low bladder compliance has been modified from 10 mL/cm H 2 O to 20 mL/cm H 2 O. Conclusions: The International SCI Urodynamic Basic Data Set (version 2.0) with its complete syllabus is available from Electronic supplementary material The online version of this article (https://doi.org/10.1038/s41394-018-0133-0) contains supplementary material, which is available to authorized users. 1234567890();,:1234567890();,:

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Factors Related to the Occurrence of Urinary Tract Infection Following a Urodynamic Study in Patients With Spinal Cord Injury

Cited by 11 publications

References 19 publications

Antibiotic prophylaxis prior to urodynamic study in patients with traumatic spinal cord injury. Is there an indication?

Antibiotic prophylaxis prior to urodynamic study in patients with traumatic spinal cord injury. Is there an indication?

Adult Neurogenic Lower Urinary Tract Dysfunction and Intermittent Catheterisation in a Community Setting: Risk Factors Model for Urinary Tract Infections

International spinal cord injury urodynamic basic data set (version 2.0)

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