Urinary tract infection analysis in a spinal cord injured population undergoing rehabilitation—how to treat?

Martins, Charles Ferreira; Bronzatto, Elaine; Neto, Jamil Miguel; Magalhaes, G. S.; D'anconna, C A L; Cliquet, Alberto

doi:10.1038/sc.2012.104

Cited by 22 publications

(12 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Intermittent catheterization (IC), either via the urethra or, more rarely, a continent urostomy, is advocated as an effective bladder management strategy in patients with neurogenic bladder dysfunction (2). IC, compared with indwelling catheters (transurethral or suprapubic), carries a lower risk of urinary tract infections (UTI), especially in subjects with SCI (3,4).…”

mentioning

confidence: 99%

Bladder irrigation with Chlorhexidine reduces bacteriuria in persons with spinal cord injury

Wikström¹,

Levi²,

Antepohl³

2018

J Rehabil Med

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Bladder irrigation with Chlorhexidine reduces bacteriuria in persons with spinal cord injury

Wikström¹,

Levi²,

Antepohl³

2018

J Rehabil Med

View full text Add to dashboard Cite

show abstract

“…[5][6][7] The results of these studies may help to select proper antimicrobial agents during empirical therapy for UTI. However, these studies have only assessed the outpatient SCI population.…”

Section: Introductionsmentioning

confidence: 99%

Comparison of bacterial strains and antibiotic susceptibilities in urinary isolates of spinal cord injury patients from the community and hospital

Yoon

Lee

et al. 2014

Spinal Cord

View full text Add to dashboard Cite

Study design: A one-year epidemiological survey. Objective: To compare bacterial strains and antimicrobial susceptibilities of urinary isolates from hospital and community spinal cord injury (SCI) patients. Setting: A specialized SCI unit in a freestanding rehabilitation hospital. Methods: From June 2012 through May 2013, urine cultures were obtained from all of the newly admitted patients. Bacterial strains and antimicrobial susceptibilities were compared between patients from community and hospital settings. Results: The proportion of Enterobacteriaceae in the total urinary isolates from hospital-dwelling patients was smaller than that from community-dwelling patients (66.0 vs 85.5%, Po0.001), while the proportions of Pseudomonas, Acinetobacter and Enterococcus species were relatively larger (8.7%, 6.0% and 12.0% vs 2.8%, 0.7% and 2.8%, respectively, Po0.05). The isolates from hospitaldwelling patients showed lower susceptibility to ampicillin, amoxicillin-clavulanic acid, trimethoprim-sulfamethoxazole and all generations of cephalosporin (Po0.05), and a higher prevalence of extended-spectrum beta-lactamase (ESBL)-producers (41.7 vs 5.4%, Po0.001), compared with those from community-dwelling patients. The susceptibility rates to levofloxacin were lower than 50% in both community and hospital-dwelling patients. Conclusion: Broader-spectrum antibiotics should be considered in treating nosocomial urinary tract infection (UTI) of SCI patients because of the relatively wide variety of organisms and higher frequency of antibiotic-resistant strains, including ESBL-producing Enterobacteriaceae in hospital-derived specimens. Furthermore, in areas with high prevalence of fluoroquinolone resistance, fluoroquinolones should be used with caution during empirical treatment for UTI in SCI patients.

show abstract

“…Instead, the recommendation emphasizes the need to match antimicrobial agents to the infecting organism and the patient’s risk profile [ 41 ]. A recent survey showed poor compliance in matching culture sensitivity with antibiotic prescribed and a tendency to over-treat UTIs with SCI, resulting in antibiotic resistance [ 42 , 43 ]. The new Nugget also distinguishes simple (frequency of fewer than three per year) from complicated (>3 infections per year) infections, and recommends a short course treatment (3–7 days) for the former, and long-course (7–14 days) for the latter [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

Promoting Long-Term Health among People with Spinal Cord Injury: What’s New?

McColl

Gupta

Smith

et al. 2017

IJERPH

View full text Add to dashboard Cite

A key ingredient to successful health promotion is a primary care provider who can offer an informed first response to lifestyle issues, emerging problems and chronic challenges. This article aims to assist family physicians to play their role in promoting the health of people with SCI, by summarizing the latest evidence in the management of spinal cord injury in primary care. This study used a scoping review methodology to survey peer-reviewed journal articles and clinical guidelines published between January 2012 to June 2016. This search strategy identified 153 articles across 20 topics. A prevention framework is used to identify five primary, nine secondary, four tertiary, and two quaternary prevention issues about which family physicians require current information. Major changes in the management of SCI in primary care were noted for 8 of the 20 topics, specifically in the areas of pharmacological management of neuropathic pain and urinary tract infection; screening for bowel and bladder cancer; improvements in wound care; and clarification of dietary fibre recommendations. All of these changes are represented in the 3rd edition of Actionable Nuggets—an innovative tool to assist family physicians to be aware of the best practices in primary care for spinal cord injury.

show abstract

Urinary tract infection analysis in a spinal cord injured population undergoing rehabilitation—how to treat?

Cited by 22 publications

References 17 publications

Bladder irrigation with Chlorhexidine reduces bacteriuria in persons with spinal cord injury

Bladder irrigation with Chlorhexidine reduces bacteriuria in persons with spinal cord injury

Comparison of bacterial strains and antibiotic susceptibilities in urinary isolates of spinal cord injury patients from the community and hospital

Promoting Long-Term Health among People with Spinal Cord Injury: What’s New?

Contact Info

Product

Resources

About