The good, the bad and the ugly of catheterization practices among elite athletes with spinal cord injury: a global perspective

Krassioukov, Andrei V.; Cragg, Jacquelyn J.; West, Christopher R.; Voss, Christine; Krassioukov-Enns, Dmitri

doi:10.1038/sc.2014.208

Cited by 39 publications

(44 citation statements)

References 25 publications

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“…Athletes from developing nations were significantly more likely to reuse catheters, and exhibited two times more UTIs per year than athletes from developed nations. The authors suggested that catheter reuse may be due to a lack of resources or a lack of education 9. All athletes utilising intermittent catheterisation should be educated regarding catheter hygiene, including that catheters are for single use only.…”

Section: Uti Preventionmentioning

confidence: 99%

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Australian Institute of Sport and the Australian Paralympic Committee position statement: urinary tract infection in spinal cord injured athletes

Compton

Trease²,

Cunningham

et al. 2015

Br J Sports Med

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Patients with spinal cord injuries are at increased risk of developing symptomatic urinary tract infections. Current evidence-based knowledge regarding prevention and treatment of urinary tract infection in the spinal cord injured population is limited. There are currently no urinary tract infection prevention and management guidelines specifically targeted towards elite spinal cord injured athletes. This position statement represents a set of recommendations intended to provide clinical guidelines for sport and exercise medicine physicians and other healthcare providers for the prevention and treatment of urinary tract infection in spinal cord injured athletes. It has been endorsed by the Australian Institute of Sport (AIS) and the Australian Paralympic Committee (APC).

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Section: Uti Preventionmentioning

confidence: 99%

“…Athletes from developing nations experienced on average 3.5 UTIs per year 9. Furthermore, Derman et al 10 reported a 7.6% frequency of genitourinary illness in Paralympic athletes during the competition period of the London 2012 Paralympic games.…”

Section: Introductionmentioning

confidence: 99%

Australian Institute of Sport and the Australian Paralympic Committee position statement: urinary tract infection in spinal cord injured athletes

Compton

Trease²,

Cunningham

et al. 2015

Br J Sports Med

View full text Add to dashboard Cite

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“…A recent study showed that voiding technique has a major influence on the incidence rates of UTIs. 26 …”

Section: Data Collectionmentioning

confidence: 99%

Medical complications during pregnancy and childbirth in women with SCI in Switzerland

et al. 2015

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Study design: A retrospective interview study of mothers with spinal cord injuries (SCIs) who gave birth over the last 15 years. Objectives: To identify the medical complications of women with SCIs during pregnancy and childbirth in Switzerland and to describe how they dealt with these complications. Settings: Swiss Paraplegic Research in Nottwil, the University of Lausanne and participants' homes. Methods: Data were collected by self-reported questionnaires and descriptive analysis was conducted. Results: Seventeen women with SCIs who gave birth to 23 children were included. Thirteen of the women were paraplegics and four were tetraplegics. All of them practiced an independent bladder management. Three women changed their bladder management techniques during pregnancy. Five women reported an increased bladder evacuation frequency during pregnancy, and six women reported a new onset or increase in incontinence. We observed no significant increase in bowel dysfunction or skin breakdown due to their pregnancies. Ten women were hospitalised during the course of their pregnancies. Aside from urinary tract infections/ pyelonephritis, women were hospitalised for falls, hypertension, pneumonia, preeclampsia, pre-term labour or tachycardia. Conclusion:The results of our study clearly demonstrated that, although medical complications are not infrequent during pregnancy in women with SCIs, pregnancy and delivery in this group of women are possible without posing intolerable risks to the mothers or the children. Urological problems seemed to be the most frequent complication during pregnancy.

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“…Our sample range in frequency of catheterizing was similar to those from a survey of elite international athletes with SCI (N=61) who catheterized an average of 6 ± 2 times daily; they also reported a range of catheterization 1–10 times/day. 19 …”

Section: Discussionmentioning

confidence: 99%

Feasibility of a Web-Based Self-management Intervention for Intermittent Urinary Catheter Users With Spinal Cord Injury

Wilde

McMahon

Fairbanks

et al. 2016

Journal of Wound, Ostomy &Amp; Continence Nursing

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Purpose The purpose of this study was to evaluate the feasibility of a new web-based intermittent catheter self-management intervention. Design We tested the acceptability and usability of intervention components, which included multiple web-based materials (an online urinary diary adapted for mobile phone use and an educational booklet), three phone calls with a nurse, and a peer led discussion forum. Subjects and setting Thirty adults with spinal cord injury using an intermittent catheter for bladder drainage were enrolled; 26 participants received the nurses’ phone based consultations. Methods Preliminary effectiveness of new self-efficacy and self-management scales were evaluated using baseline and three month online surveys. Participants’ perceived value of the intervention components, self-management changes, and suggestions were assessed with data from the three month surveys followed by brief tape-recorded interviews. Results Several catheter practices improved somewhat over three months including. The frequency of catheterizations every 4–6 hours increased from 71% to 77%. Self-management of neurogenic bladder dysfunction increased significantly (P= .032); participant comments indicated that fluid intake was the biggest change. Catheter related self-efficacy and quality of life scores increased. The frequency of urinary tract infection and pain did not change significantly. For feasibility, intervention components, with the exception of the forum, were rated highly by the majority of participants for usefulness, satisfaction (desired information), and web-based usability. Conclusion Further testing of this intervention is recommended in a multi-site randomized clinical trial.

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The good, the bad and the ugly of catheterization practices among elite athletes with spinal cord injury: a global perspective

Cited by 39 publications

References 25 publications

Australian Institute of Sport and the Australian Paralympic Committee position statement: urinary tract infection in spinal cord injured athletes

Australian Institute of Sport and the Australian Paralympic Committee position statement: urinary tract infection in spinal cord injured athletes

Medical complications during pregnancy and childbirth in women with SCI in Switzerland

Feasibility of a Web-Based Self-management Intervention for Intermittent Urinary Catheter Users With Spinal Cord Injury

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