关键词: intermittent self‐catheterization single‐use catheters spina bifida spinal cord injury urinary tract infection

Mesh : Humans Male Female Urinary Tract Infections / etiology epidemiology Middle Aged Adult Intermittent Urethral Catheterization / adverse effects instrumentation Spinal Cord Injuries / complications Anti-Bacterial Agents / administration & dosage therapeutic use Incidence Sex Factors Urinary Catheters / adverse effects Risk Factors Aged Urinary Catheterization / adverse effects instrumentation

来  源:   DOI:10.1111/luts.12515

Abstract:
OBJECTIVE: To investigate factors associated with symptomatic urinary tract infection (sUTI) in persons with chronic spinal cord lesion (SCL) who were using single-use catheters for intermittent self-catheterization (ISC).
METHODS: Among respondents to an internet survey on the burden of illness on persons with SCL who were considered to be able to perform ISC, 111 persons using single-use catheters were included to examine factors associated with self-reported sUTI by univariate as well as multivariable analysis.
RESULTS: The incidence of sUTI was significantly higher in males than in females (56.9% vs. 31.6%, p = .011), persons with stocks of antibiotics than those without it (82.9% vs. 28.6%, p < .011), and persons with more frequent bleeding during catheterization than those with less frequent bleeding (100% vs. 46.5%, p = .036). The incidence did not significantly differ between respective groups when various variables were evaluated by other characteristics of the participants, adherence to ISC procedures, and complications. On multivariable analysis, male gender and stocks of antibiotics were significant independent factors for sUTI.
CONCLUSIONS: Male gender and stocks of antibiotics were associated with sUTI in persons with SCL who were performing ISC with single-use catheters.
摘要:
目的:研究慢性脊髓病变(SCL)患者使用一次性导管进行间歇性自我导尿(ISC)的症状性尿路感染(sUTI)的相关因素。
方法:在对被认为能够执行ISC的SCL患者的疾病负担进行互联网调查的受访者中,通过单变量和多变量分析,纳入了111名使用一次性导管的人,以检查与自我报告的sUTI相关的因素。
结果:男性sUTI的发病率明显高于女性(56.9%vs.31.6%,p=.011),有抗生素库存的人比没有抗生素的人多(82.9%vs.28.6%,p<.011),和导管插入术中出血更频繁的人比出血频率较低的人(100%vs.46.5%,p=.036)。当通过参与者的其他特征评估各种变量时,各组之间的发病率没有显着差异,遵守ISC程序,和并发症。在多变量分析中,男性性别和抗生素库存是sUTI的重要独立因素。
结论:男性性别和抗生素库存与使用一次性导管进行ISC的SCL患者的sUTI相关。
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