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

This review discusses risk factors for urinary tract infections (UTIs) in adults with neurogenic lower urinary tract dysfunction (ANLUTD) who use intermittent catheterization (IC). It presents a model categorizing these risks to aid clinicians. The model developed by the authors categorizes UTI risk factors into four main areas: general health conditions, local urinary tract conditions, patient compliance with catheterization routines, and factors related to the intermittent catheters themselves. The review emphasizes the importance of identifying and modifying these risk factors to reduce the incidence of UTIs in individuals who rely on intermittent catheterization for bladder management.

• 1
  The study highlights the lack of a universally accepted definition of UTIs, which complicates both clinical practice and research efforts in the field of neuro-urology.
• 2
  The review identifies several risk factors, including high intravesical pressure, bowel dysfunction, diabetes, and non-hygienic catheterization practices, that can increase the likelihood of UTIs in ANLUTD patients using IC.
• 3
  Hydrophilic catheters, used as single-use devices, are associated with a reduced risk of UTIs compared to uncoated catheters, suggesting the importance of catheter properties and materials in preventing infections.