Purple Urine Bags

Barlow, George; Dickson, Jolynn

doi:10.1016/s0140-6736(78)90667-0

Cited by 110 publications

(84 citation statements)

References 1 publication

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“…Interestingly, the first historical mention of this condition was in 1812, as it was found in King George III, whereas the first mention in medical literature was in 1978. 2,3 Among patients with chronic indwelling urinary catheter use, the reported prevalence has varied considerably, from 8.3% to 42.1%. 4,5 In addition to urinary catheterization, PUBS is associated with urinary tract infections (UTI) with high bacterial load, female gender, old age, severe disability, constipation, alkaline urine, increased dietary tryptophan content, renal failure, and the use of plastic urinary catheters and drainage bags.…”

Section: Discussionmentioning

confidence: 99%

Purple Urine Bag Syndrome: An Educational Case of a Colorful Condition in the Chronically Catheterized

Gebrmichael¹,

Feleke²,

Ahmed³

et al. 2017

mjm

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Section: Discussionmentioning

confidence: 99%

Purple Urine Bag Syndrome: An Educational Case of a Colorful Condition in the Chronically Catheterized

Gebrmichael¹,

Feleke²,

Ahmed³

et al. 2017

mjm

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“…Historically, in 1812, purple discoloration is noticed by a physician in King George III urine who also has chronic severe constipation [5]. But in literature, purple urine bag syndrome was first reported in 1978 [6].…”

Section: Review Of Literaturementioning

confidence: 99%

Purple urine bag syndrome in benign prostatic hyperplasia patient

et al. 2017

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Background: Purple color of urine is alarming and may indicate a serious underlying pathology. Purple discoloration of the urinary catheter bag is uncommon and is caused by urinary tract infection with certain organisms. Case presentation: We present a case of this rare phenomenon in a benign prostate hyperplasia patient with indwelling catheter who also has diabetes mellitus and chronic renal disease. We also discussed proposed etiology and pathophysiology of purple urine bag syndrome. Conclusion: Attempt to make the patient catheter free after stabilizing the patient is also the key point in its management. Although purple urine bag syndrome is not an aggressive pattern, it is an indicator for urosepsis.

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“…In urine, indoxyl sulphate is converted by enzymes produced by bacteria resulting in indigo (blue), indirubin (red) pigment and mixture of both (purple) staining the urine in the presence of an alkaline environment and bacteria which precipitate and react to the synthetic components of the urine bag [2,3]. This condition is seen in women, chronic debilitated patients with chronic catheterization and urinary tract infection [4]. We present a case series of PUBS to identify risk factors and outcomes in chronic catheterized patients.…”

Section: Introductionmentioning

confidence: 99%

Purple Urine Bag Syndrome- A Rare Clinical Entity in Chronic Urinary Catheterization: A Case Series and Literature Review

Enganti¹

2015

UNOAJ

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Objectives: To identify the potential causative factors and outcomes for PUBS in chronic catheterized patients. Patients and Methods:An observational case series study of patients with PUBS was conducted from January 2011 to June 2013. The demographic data, co-morbidities, indications, duration of chronic catheterization, Debility score (Bartel index), types, material and color of urinary catheters were assessed. Blood chemistries, urine analysis, urine cultures and required imaging were done in all the affected patients. Outcomes of treatment and follow-up of minimum 1 year was done in all patients. Results:Total of 14 patients of PUBS with chronic urinary catheterization were enrolled in the study with mean (SD) age of 52.8 (14.3) years. All the cases had catheter associated urinary tract infection, alkaline urine and seven different bacterial species isolated in urine culture. Constipation was noted in 9 (64.3%) patients. Other features noted were encrusted retained catheter, vesical calculus, neurogenic bladder, stricture urethra and renal failure. After treatment, purple discoloration of urine subsided in 12 patients. Two patients had persistent PUBS.Conclusion: PUBS is a rare entity where the causative factors were constipation, chronic catheterization, urinary tract infection, alkaline urine and chronic debilitated patients in our study cohort. Surgical correction of the underlying disease and treatment of symptomatic UTI can reduce the likelihood of this problem.

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Purple Urine Bags

Cited by 110 publications

References 1 publication

Purple Urine Bag Syndrome: An Educational Case of a Colorful Condition in the Chronically Catheterized

Purple Urine Bag Syndrome: An Educational Case of a Colorful Condition in the Chronically Catheterized

Purple urine bag syndrome in benign prostatic hyperplasia patient

Purple Urine Bag Syndrome- A Rare Clinical Entity in Chronic Urinary Catheterization: A Case Series and Literature Review

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