Factors Related to the Occurrence of Urinary Tract Infection Following a Urodynamic Study in Patients With Spinal Cord Injury
| Autor: | Hwang, Sung-Il, Lee, Bum-Suk, Han, Zee-A, Lee, Hye-Jin, Han, Sang-Hoon, Kim, Myeong-Ok |
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| Rok vydání: | 2016 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty business.industry Urinary system Rehabilitation 030232 urology & nephrology Urology bacterial infections and mycoses Urinary tract infections urologic and male genital diseases medicine.disease female genital diseases and pregnancy complications Urodynamics 03 medical and health sciences 0302 clinical medicine Spinal cord injuries Medicine Original Article In patient 0305 other medical science business Spinal cord injury |
| Zdroj: | Annals of Rehabilitation Medicine |
| ISSN: | 2234-0653 2234-0645 |
| Popis: | Objective To analyze the factors related to urinary tract infection (UTI) occurrence after an urodynamic study (UDS) in patients with spinal cord injury (SCI). Methods We retrospectively investigated the medical records of 387 patients with SCI who underwent UDS with prophylactic antibiotic therapy between January 2012 and December 2012. Among them, 140 patients met the inclusion criteria and were divided into two groups, UTI and non-UTI. We statistically analyzed the following factors between the two groups: age, sex, level of injury, SCI duration, spinal cord independence measure, non-steroidal anti-inflammatory drug use, diabetes mellitus, the American Spinal Injury Association impairment scale (AIS), lower extremity spasticity, a history of UTI within the past 4 weeks prior to the UDS, symptoms and signs of neurogenic bladder, urination methods, symptoms during the UDS and UDS results. Results Among the 140 study participants, the UTI group comprised 12 patients and the non-UTI group comprised 128 patients. On univariate analysis, a history of UTI within the past 4 weeks prior to the UDS was significant and previous autonomic dysreflexia before the UDS showed a greater tendency to influence the UTI group. Multivariable logistic regression analysis using these two variables showed that the former variable was significantly associated with UTI and the latter variable was not significantly associated with UTI. Conclusion In patients with SCI, a history of UTI within the past 4 weeks prior to the UDS was a risk factor for UTI after the UDS accompanied by prophylactic antibiotic therapy. Therefore, more careful pre-treatment should be considered when these patients undergo a UDS. |
| Databáze: | OpenAIRE |
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