Purple diaper syndrome self remitted without antibiotic treatment

Purple Urine Bag Syndrome in Geriatric Hospital: A Report of 2 Cases

“…It is assumed that intestinal bacteria are involved in the pathogenesis of PUBS. 1,5,10,11) Two studies 5,14) reported that patients with the syndrome had a benign clinical process. However, the occurrence of PUBS can be confusing to patients, their families, caregivers, and even inexperienced medical staff.…”

“…The clinical outcomes of PUBS are not always benign, and many authors have reported patients who have died of severe infections, such as septic shock or aspiration pneumonia. 14,15) According to a recent study that analyzed 106 articles (174 cases), which investigated PUBS and were indexed in PubMed from 1980 to 2016, the death rate was 6.8%. 10) In conclusion, if purple urine appears in a long-term patient in a geriatric hospital, physicians and nurses should first provide a full explanation to the patient and their families about PUBS.…”

“…Shiao et al 15) and Ga 14) recommended improving patient’s hygiene and changing the catheter on a regular basis as in other patients with catheters. However, the authors only replaced the catheter if the patient had severe anxiety or the urine bag and tubing were unsanitary.…”

“…Kim et al 5) suggested that without symptoms and signs of urinary tract infection, the use of preventive antibiotics is not recommended because of the possibility of antibiotic-resistant bacteria. Ga 14) suggested that PUBS was unrelated to the progression of a urinary tract infection or sepsis so it is inappropriate to administer antibiotics to elderly patients with impaired immune systems.…”

“…The clinical outcomes of PUBS are not always benign, and many authors have reported patients who have died of severe infections, such as septic shock or aspiration pneumonia. 14 , 15) According to a recent study that analyzed 106 articles (174 cases), which investigated PUBS and were indexed in PubMed from 1980 to 2016, the death rate was 6.8%. 10) …”