Development and Assessment of SCI Model Systems Complicated UTI Consensus Guidelines: A Psychometrically Designed Mixed-Methods Protocol

Top Spinal Cord Inj Rehabil, 2022 · DOI: 10.46292/sci22-00002 · Published: December 1, 2022

Simple Explanation

This study aims to create better guidelines for diagnosing complicated urinary tract infections (cUTIs) in people with spinal cord injuries (SCI). Current UTI diagnosis methods, designed for people without SCI, don't work well for those with SCI due to factors like nerve damage affecting bladder function. The researchers plan to gather information from SCI experts and patients through focus groups and surveys. They will use this information to develop new guidelines that consider the unique challenges faced by people with SCI. Then, they will see how well the new guidelines are used by doctors and how they affect patients' health and antibiotic use. The goal is to create guidelines that are more accurate and helpful for diagnosing cUTIs in people with SCI, which could lead to better treatment and fewer unnecessary antibiotics.

Study Duration

12 Months

Participants

Consumers with SCI and NLUTD; Clinicians treating SCI patients

Evidence Level

Not specified

Key Findings

1
The study will produce diagnostic guidelines for cUTI among people with neurogenic lower urinary tract dysfunction (NLUTD) due to SCI/D.
2
The study will provide data on clinician uptake of the guidelines.
3
The study will assess the impact of the guidelines on patients.

Research Summary

This mixed-methods study aims to develop consensus-based guidelines for diagnosing complicated urinary tract infections (cUTI) in individuals with spinal cord injury and neurogenic lower urinary tract dysfunction (SCI/D and NLUTD). The study will use focus groups with clinicians and a Delphi survey to refine diagnostic criteria, followed by assessment of guideline uptake by clinicians and impact on patient outcomes and antibiotic use. The expected outcome is evidence-based, coherent guidelines that support clinical practice and research to benefit cUTI patients with SCI and NLUTD.

Practical Implications

Improved Diagnostic Accuracy

The new guidelines aim to provide more accurate cUTI diagnoses in SCI patients, reducing reliance on subjective clinical experiences.

Optimized Antibiotic Use

The guidelines could lead to better antibiotic stewardship by reducing unnecessary antibiotic prescriptions.

Enhanced Patient Management

Better diagnostic guidelines and training materials can improve patient self-management and engagement with the healthcare system.

Study Limitations

1
The study is limited by its reliance on clinician and patient participation and self-reporting.
2
The study's findings may be influenced by the specific SCIMS network involved.
3
Generalizability of the guidelines may be limited to similar patient populations and healthcare settings.

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