Preventing urinary tract infections in patients with neurogenic bladder

Wagenlehner, Florian; Pilatz, Adrian

doi:10.1016/s1473-3099(18)30284-6

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Urinary tract infections (UTIs) have been the most common urological complication in spinal cord injury (SCI) patients, prolonging hospital stays, impeding the progress of recovery, and increasing the financial burden 1 – 3 . A comprehensive epidemiological study conducted in the United States showed that 36% of SCI patients suffered from UTIs 4 .…”

Section: Introductionmentioning

confidence: 99%

Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community

Liu,

Luo,

Xiao

et al. 2023

Sci Rep

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We conducted a cross-sectional study using an online questionnaire to investigate the current status of urinary tract infections (UTIs) and the use of clean intermittent catheterization (CIC) in Chinese community-based SCI patients and to explore the risk factors for UTIs in patients using CIC. Our findings suggest that the prevalence of UTIS is higher in Chinese community-based SCI patients compared with patients in medically developed countries. In addition, we found that CIC had the lower incidence of UTIs than urinary indwelling catheter (UIC) and suprapubic catheter (SPC), and that SCI patients with CIC had low rates of use and poor compliance. Further analysis indicated that most of the risk factors for UTIs in CIC patients were associated with irregular use of CIC. Therefore, we call for not only the need to provide stronger caregiver support and financial assistance to improve CIC adherence in Chinese community SCI patients, but also the establishment of a database of Chinese SCI patients in order to enhance the management of bladder emptying methods and further standardize the CIC operation in such patients, thus reducing the risk of UTIs in Chinese community SCI patients.

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Section: Introductionmentioning

confidence: 99%

Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community

Liu,

Luo,

Xiao

et al. 2023

Sci Rep

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“…Meanwhile, another study also shows the prevalence of UTI is>50% among patients with NLUTD ( Nicolle et al, 2005 ). Once a patient develops UTI, it will seriously affect the rehabilitation of the primary disease and may further cause secondary damage to the upper urinary tract, leading to renal function damage and even death ( Amarenco et al, 2017 ; Wagenlehner & Pilatz, 2018 ). Furthermore, UTI is an independent risk factor leading to renal damage, and UTI has serious adverse effects on the prognosis of patients with NLUTD ( Chow, Gallo & Busse, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Early warning model construction and validation for urinary tract infection in patients with neurogenic lower urinary tract dysfunction (NLUTD): a retrospective study

Zhou

Liang

Qin³

et al. 2022

PeerJ

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Background This study was performed to construct and validate an early risk warning model of urinary tract infection in patients with neurogenic lower urinary tract dysfunction (NLUTD). Methods Eligible patients with NLUTD admitted to Shenzhen Longcheng hospital from January 2017 to June 2021 were recruited for model construction, internal validation and external validation. The first time point of data collection was within half a month of patients first diagnosed with NLUTD. The second time point was at the 6-month follow-up. The early warning model was constructed by logistic regression. The model prediction effects were validated using the area under the Receiver Operating Characteristic curve, the Boostrap experiment and the calibration plot of the combined data. The model was externally validated using sensitivity, specificity and accuracy. Results Six predictors were identified in the model, namely patients ≥65 years old (OR = 2.478, 95%CI [1.215– 5.050]), female (OR = 2.552, 95%CI [1.286–5.065]), diabetes (OR = 2.364, 95%CI) [1.182–4.731]), combined with urinary calculi (OR = 2.948, 95%CI [1.387–6.265]), indwelling catheterization (OR = 1.988, 95%CI [1.003 –3.940]) and bladder behavior training intervention time ≥2 weeks (OR = 2.489, 95%CI [1.233–5.022]); and the early warning model formula was Y = 0.907 × age+ 0.937 × sex + 0.860 × diabetes +1.081 × combined with urinary calculi+ 0.687 × indwelling catheterization+ 0.912 × bladder behavior training intervention time-2.570. The results show that the area under the ROC curve is 0.832, which is close to that of 1,000 Bootstrap internal validation (0.828). The calibration plot shows that the early warning model has good discrimination ability and consistency. The external validation shows the sensitivity is 62.5%, the specificity is 100%, and the accuracy is 90%. Conclusion The early warning model for urinary tract infection in patients with NLUTD is suitable for clinical practice, which can provide targeted guidance for the evaluation of urinary tract infection in patients with NLUTD.

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Preventing urinary tract infections in patients with neurogenic bladder

Cited by 2 publications

References 10 publications

Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community

Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community

Early warning model construction and validation for urinary tract infection in patients with neurogenic lower urinary tract dysfunction (NLUTD): a retrospective study

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