PDF(Pubmed)
Abstract：
UNASSIGNED: To investigate the occurrence rate of urinary tract infections (UTIs) in the early phase after performing intermittent catheterization (IC) and to explore the possible factors associated with UTIs after performing IC among people with spinal cord injury (SCI).
UNASSIGNED: An inpatient rehabilitation department of a teaching hospital in China.
UNASSIGNED: Retrospective chart review.
UNASSIGNED: A retrospective chart review was carried out for traumatic and non-traumatic SCI patients after performing IC during their inpatient stay. Demographic information, comorbidity of diabetes, urine analysis results before IC, method of IC (sterile or clean), use of bladder irrigation, cessation of IC and its reasons, and UTI events were collected.
UNASSIGNED: A total of 183 adult individuals were included, of which 60 (32.8%) of them were women. The median age was 49.0 years. The median time post-injury was 2 months. The overall occurrence rate of UTI after performing IC was 1.31 (95% confidence intervals: 0.96-1.77) events per 100 days. Sixty-nine (37.7%) patients discontinued IC during hospitalization, and UTIs were the leading reason for cessation (50.7%). Female sex, use of antibiotics for infections other than UTI, and use of bladder irrigation were found to be associated with a lower occurrence rate of UTI in the early phase after performing IC, with an odds ratio of 0.38 (p = 0.019), 0.20 (p = 0.022), and 0.24 (p < 0.001), respectively.
UNASSIGNED: UTI after performing IC is prevalent among people with SCI. The study indicated that antibiotic prophylaxis and routine bladder irrigation might be associated with the reduction in UTI in the early phase after performing IC. Further research is needed to provide more evidence.
UNASSIGNED: An inpatient rehabilitation department of a teaching hospital in China.
UNASSIGNED: Retrospective chart review.
UNASSIGNED: A retrospective chart review was carried out for traumatic and non-traumatic SCI patients after performing IC during their inpatient stay. Demographic information, comorbidity of diabetes, urine analysis results before IC, method of IC (sterile or clean), use of bladder irrigation, cessation of IC and its reasons, and UTI events were collected.
UNASSIGNED: A total of 183 adult individuals were included, of which 60 (32.8%) of them were women. The median age was 49.0 years. The median time post-injury was 2 months. The overall occurrence rate of UTI after performing IC was 1.31 (95% confidence intervals: 0.96-1.77) events per 100 days. Sixty-nine (37.7%) patients discontinued IC during hospitalization, and UTIs were the leading reason for cessation (50.7%). Female sex, use of antibiotics for infections other than UTI, and use of bladder irrigation were found to be associated with a lower occurrence rate of UTI in the early phase after performing IC, with an odds ratio of 0.38 (p = 0.019), 0.20 (p = 0.022), and 0.24 (p < 0.001), respectively.
UNASSIGNED: UTI after performing IC is prevalent among people with SCI. The study indicated that antibiotic prophylaxis and routine bladder irrigation might be associated with the reduction in UTI in the early phase after performing IC. Further research is needed to provide more evidence.
摘要：
■探讨脊髓损伤（SCI）患者行间歇性导尿（IC）后早期尿路感染（UTI）的发生率，并探讨其可能的相关因素。
■中国某教学医院的住院康复科。
■回顾性图表回顾。
对创伤性和非创伤性SCI患者在住院期间进行IC检查后进行回顾性分析。人口统计信息,糖尿病合并症，IC前尿液分析结果，IC方法（无菌或清洁），使用膀胱冲洗，停止IC及其原因，并收集UTI事件。
■共包括183名成年人，其中60人(32.8%)是女性。中位年龄为49.0岁。受伤后的中位时间为2个月。进行IC治疗后，UTI的总发生率为每100天1.31（95％置信区间：0.96-1.77）。六十九名(37.7%)患者在住院期间停用IC,和UTI是戒烟的主要原因(50.7%)。女性性别,使用抗生素治疗UTI以外的感染，并且发现在进行IC后的早期，使用膀胱冲洗与UTI的发生率较低有关，赔率比为0.38(p=0.019)，0.20（p=0.022），和0.24（p<0.001），分别。
■执行IC后的UTI在SCI患者中很普遍。研究表明，在进行IC后的早期，抗生素预防和常规膀胱冲洗可能与UTI的减少有关。需要进一步的研究来提供更多的证据。
■中国某教学医院的住院康复科。
■回顾性图表回顾。
对创伤性和非创伤性SCI患者在住院期间进行IC检查后进行回顾性分析。人口统计信息,糖尿病合并症，IC前尿液分析结果，IC方法（无菌或清洁），使用膀胱冲洗，停止IC及其原因，并收集UTI事件。
■共包括183名成年人，其中60人(32.8%)是女性。中位年龄为49.0岁。受伤后的中位时间为2个月。进行IC治疗后，UTI的总发生率为每100天1.31（95％置信区间：0.96-1.77）。六十九名(37.7%)患者在住院期间停用IC,和UTI是戒烟的主要原因(50.7%)。女性性别,使用抗生素治疗UTI以外的感染，并且发现在进行IC后的早期，使用膀胱冲洗与UTI的发生率较低有关，赔率比为0.38(p=0.019)，0.20（p=0.022），和0.24（p<0.001），分别。
■执行IC后的UTI在SCI患者中很普遍。研究表明，在进行IC后的早期，抗生素预防和常规膀胱冲洗可能与UTI的减少有关。需要进一步的研究来提供更多的证据。
