CATHETER-RELATED URINARY TRACT INFECTION IN PATIENTS SUFFERING FROM SPINAL CORD INJURIES

BOSNIAN JOURNAL OF BASIC MEDICAL SCIENCES, 2009 · DOI: · Published: January 1, 2009

Simple Explanation

Patients with spinal cord injuries are prone to urinary tract infections (UTIs) due to issues like incomplete bladder emptying and the necessity of using catheters, which can introduce bacteria into the bladder. The study involved 145 patients with spinal cord injuries, dividing them into three groups based on bladder drainage methods: intermittent catheterization, indwelling catheters, and self-catheterization. The research aimed to update the understanding of the causes and antibiotic resistance patterns of UTIs in this patient group, also exploring connections between UTIs and different bladder management techniques.

Study Duration

Not specified

Participants

145 patients with spinal cord injuries

Evidence Level

Not specified

Key Findings

1
The majority of UTIs and bacteriuria cases were caused by Gram-negative bacilli and enterococci, typical inhabitants of the bowel and perineum and common in hospital environments.
2
A significant number of isolates (55.3%) showed multidrug resistance, with Acinetobacter baumannii, Providencia rettgeri, Pseudomonas aeruginosa, Providencia stuarti, and Morganella morgani displaying the highest resistance rates.
3
Patients performing self-catheterization experienced lower rates of urinary tract infection and bacteriuria compared to the other two groups.

Research Summary

This study investigates catheter-related urinary tract infections (UTIs) in patients with spinal cord injuries (SCI), focusing on the etiology, antimicrobial susceptibility, and correlation with bladder management methods. The research found that the majority of infections were polymicrobial and caused by Gram-negative bacteria, with a high prevalence of multidrug-resistant strains. Self-catheterization was associated with lower infection rates. The study concludes that the urinary tract of catheterized patients is highly susceptible to infection and emphasizes the importance of close urological follow-up, proper hygiene, and cautious antibiotic use.

Practical Implications

Infection Prevention

Strict adherence to hygiene protocols and aseptic catheter insertion techniques are crucial to minimize the risk of UTIs in spinal cord injury patients.

Antimicrobial Stewardship

Judicious use of antibiotics based on culture results and clinical symptoms is necessary to combat the emergence of multidrug-resistant organisms.

Bladder Management Strategy

Prioritizing intermittent self-catheterization, when feasible, can reduce the incidence of UTIs compared to indwelling catheters.

CATHETER-RELATED URINARY TRACT INFECTION IN PATIENTS SUFFERING FROM SPINAL CORD INJURIES

Simple Explanation

Key Findings

Research Summary

Practical Implications

Infection Prevention

Antimicrobial Stewardship

Bladder Management Strategy

Study Limitations

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Was this summary helpful?

CATHETER-RELATED URINARY TRACT INFECTION IN PATIENTS SUFFERING FROM SPINAL CORD INJURIES

Simple Explanation

Key Findings

Research Summary

Practical Implications

Infection Prevention

Antimicrobial Stewardship

Bladder Management Strategy

Study Limitations

Your Feedback

Was this summary helpful?