Physical predictors of infection in patients treated with clean intermittent catheterization: a prospective 7‐year study

Abstract

Objective To study urinary tract complications in and patients with UTI had the highest mean catheterization volume now, and the highest increase in patients treated using long-term clean intermittent catheterization (CIC), and to evaluate the physical mean catheterization volume from 1989 to 1995. Bacteriuria was found in 61% of the urine samples, factors which might be implicated in these complications.with Escherichia coli the dominant species among women and Gram-positive cocci among men. Patients Patients and methods During 1995, 170 patients (84 men and 86 women, mean age 56.9 years) with a who did not use anti-infective agents had a 31% rate of sterile urine while the corresponding value among mean duration of use of CIC for 8.8 years were assessed for complications related to CIC. The same those using antibiotics was 54%. The frequency of catheterization was the only variable predictive of patients had participated in a thorough follow-up study during 1988-9 and were examined again using bacteriuria apart from the use of antibiotics. Conclusion This study confirms previous reports showquestionnaires and the analysis of urine samples. CIC was practised by two-thirds of the patients because ing CIC to be an excellent procedure for minimizing urinary tract complications and supports the current they had neurogenic bladder dysfunction and for nonneurogenic dysfunction in the remainder.recommendations, e.g. restricting the use of antibiotics in patients using CIC and ensuring that they cathResults In this prevalence study, 111 patients (65%) had no signs of clinical urinary tract infection (UTI), eterize sufficiently often to ensure that the mean volume of each catheterization is kept to <400 mL while 10 patients (6%) had pronounced symptoms. The remaining 29% had only minor signs of UTI.in adults. Keywords Clean intermittent catheterization, prevaThere were three predictive factors of clinical UTI; women reported more infections than men, the lence, urinary tract complications, bacteriuria, predicting variables patients most affected by UTI in the present study were those suffering UTI during the 1988-9 studyThe aim of the present study was to re-examine a

Neurogenic bladder in patients with traumatic spinal cord injury: treatment and follow-up

“…13,14 It is usually the primary recommendation for long-term bladder management. 15 In accordance with these studies, our results revealed that the most frequently used technique for bladder rehabilitation in patients with SCI is CIC (77.9%).…”

Bacteriuria in Spinal Cord Injured Patients with Neurogenic Bladder Dysfunction

“…In a Consensus Statement by the National Institute on Disability and Rehabilitation Research (11), it was stated that the criterion for bacteriuria in people with spinal cord injuries who use intermittent catheterisation should be 10 5 cfu/L, and that the traditional criterion (Kass criterion) of 10 8 cfu/L has an unacceptably low sensitivity when used for clinical and research purposes among in people with spinal cord injuries who use intermittent catheterisation. In some later studies, the bacterial concentrations used to indicate significant bacteriuria are higher than 10 5 cfu/L or else information is lacking making direct comparison of data difficult (6,(14)(15)(16)(17) We find our results to be in agreement with those obtained by Gribble et al (10) The four most common categories of bacteria isolated in this study were coagulase negative staphylococci, enterococci, Klebsiella, and Escherichia coli. The bacteria found in this study do not differ from those in other studies, although the frequencies of the categories differ.…”

Influence of bladder management on epididymo-orchitis in patients with spinal cord injury: clean intermittent catheterization is a risk factor for epididymo-orchitis

“…17,18 However, a comparative study is necessary to definitely determine the placement of the hydrophilic catheter. Preferably, correct instructions about CIC are of utmost importance for reducing urethral complications and subsequently epididymo-orchitis.…”