Frontiers in Medicine, 2023 · DOI: 10.3389/fmed.2023.1257523 · Published: November 17, 2023
This study investigated urinary tract infections (UTIs) in people with spinal cord injury (SCI) who use intermittent catheterization (IC). The goal was to find out how common UTIs are soon after starting IC and what factors might be linked to these infections. Researchers looked back at the medical records of 183 adults with SCI who began using IC during their hospital stay. They collected data on things like age, gender, injury details, diabetes, urine tests, catheterization methods, bladder rinsing, and whether they stopped using IC due to UTIs. The study found that UTIs are common after starting IC. Factors like being female, using antibiotics for other infections, and using bladder irrigation were linked to fewer UTIs. This suggests these factors might help reduce the risk of UTIs in SCI patients who use IC.
Recognizing the prevalence of UTIs post-IC initiation in SCI patients allows for focused preventative measures.
The protective effect of antibiotics used for other infections suggests a need to re-evaluate antibiotic prophylaxis strategies.
Highlighting the benefits of bladder irrigation can promote its use as a preventative measure.