PDF(Pubmed)
Abstract：
Background/Objectives: Spinal cord injuries are debilitating conditions with significant impacts on physical function and patient quality of life. The high incidence of urinary tract infections in these patients can be attributed to neurogenic bladder-a major complication of spinal cord injuries. The aim of this study is to investigate the incidence of urinary tract infections in patients with spinal cord injuries and their relation to the method of bladder emptying. Methods: A retrospective analysis on 560 patients admitted for rehabilitation at the Clinic for Rehabilitation \"Dr Miroslav Zotovic\" from December 2009 to January 2023 was conducted. Patients over 18 years old who were inpatients for longer than 30 days without any symptoms of urinary tract infection on admission were included. Patient demographics, injury details, and bladder emptying methods were recorded. Results: In our study, 402 (71.8%) participants developed a urinary tract infection during their rehabilitation. Urinary tract infections were significantly more common in patients with traumatic spinal cord injuries, lower ASIA scores, and thoracic-level injuries. The highest incidence of urinary tract infections was observed in intermittent self-catheterization patients (62.7%), with Escherichia coli and Proteus mirabilis being the most frequently isolated pathogens. Conclusions: The method of bladder emptying significantly impacted the incidence of urinary tract infection in patients with spinal cord injuries. Despite guidelines favoring intermittent catheterization, this study found it to be associated with the highest infection rates. These findings suggest a need for personalized bladder management strategies to reduce the risk of urinary tract infections and improve outcomes for spinal cord injury patients.
摘要：
背景/目标：脊髓损伤是一种使人衰弱的疾病，对身体功能和患者生活质量有重大影响。这些患者尿路感染的高发生率可归因于神经源性膀胱-脊髓损伤的主要并发症。这项研究的目的是调查脊髓损伤患者尿路感染的发生率及其与膀胱排空方法的关系。方法：对2009年12月至2023年1月在康复诊所接受康复治疗的560例患者进行回顾性分析。包括18岁以上住院时间超过30天没有任何尿路感染症状的患者。患者人口统计学，伤害细节,记录膀胱排空方法。结果：在我们的研究中，402名（71.8％）参与者在康复期间发生了尿路感染。尿路感染在创伤性脊髓损伤患者中更为常见，亚洲得分较低，和胸部受伤。间歇性自我导尿患者尿路感染发生率最高(62.7%),大肠杆菌和奇异变形杆菌是最常见的病原体。结论:膀胱排空方法对脊髓损伤患者尿路感染的发生率有显著影响。尽管指南支持间歇性导管插入术，这项研究发现它与最高的感染率有关。这些发现表明需要个性化的膀胱管理策略，以降低尿路感染的风险并改善脊髓损伤患者的预后。
