PD8-08 RISK FACTORS FOR FEBRILE UTI IN SPINAL CORD INJURY PATIENTS WITH ROUTINE CONCOMITANT INTERMITTENT CATHETERIZATION (CIC)

Abstract

You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Kidney & Bladder I1 Apr 2015PD8-08 RISK FACTORS FOR FEBRILE UTI IN SPINAL CORD INJURY PATIENTS WITH ROUTINE CONCOMITANT INTERMITTENT CATHETERIZATION (CIC) Fukashi Yamamichi, Katsumi Shigemura, Shigeto Mukai, Masashi Nomi, Akihiro Yanagiuchi, Atsushi Sengoku, Kazushi Tanaka, Soichi Arakawa, and Masato Fujisawa Fukashi YamamichiFukashi Yamamichi More articles by this author , Katsumi ShigemuraKatsumi Shigemura More articles by this author , Shigeto MukaiShigeto Mukai More articles by this author , Masashi NomiMasashi Nomi More articles by this author , Akihiro YanagiuchiAkihiro Yanagiuchi More articles by this author , Atsushi SengokuAtsushi Sengoku More articles by this author , Kazushi TanakaKazushi Tanaka More articles by this author , Soichi ArakawaSoichi Arakawa More articles by this author , and Masato FujisawaMasato Fujisawa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.923AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Neurogenic bladder associated with spinal injury may have severe problems in their urinary tract system such as urinary tract infection (UTI). The purpose of this study is to investigate the clinical risk factor for febrile UTI in spinal cord injury-associated neurogenic bladder patients who perform routine concomitant intermittent catheterization (CIC). METHODS We investigated 321 (247 male and 74 female) spinal cord injury patients in these 3 years who were diagnosed as neurogenic bladder and perform routine CIC regarding the such factors febrile UTI, gender, the presence of pyuria and bacteriuria or categories of the American Spinal Injury Association (ASIA) impairment scale (Reference Manual for the International Standards for Neurological Classification of Spinal Cord Injury (Rev. 2003)). We examined to assess the clinical risk factors for febrile UTI. RESULTS Total 77 (24.0 %) patients had febrile UTI in these follow-up periods and 64 cases of pyelonephritis, 11 cases of epididymitis and 2 cases of prostatitis. As to infection events, 145 events of febrile UTI were observed and details were 130 cases of pyelonephritis, 13 cases of epididymitis and 2 cases of prostatitis. The causative bacteria were ranked as follows: Eschelicia coli (81 cases), Pseudomonas aeruginosa (21 cases), Enterococcus faecalis (19 cases) and Kllebsiella pneumoniae (15 cases). Antibiotic resistant E. coli were seen in 10.2 % of ESBL production and 23.8 % of fluoroquinolone-resistance. Our clinical risk factor investigation showed that gender (male, p=0.0023) and ASIA category C or more severe (A or B) (p=0.0040) had significantly associated with febrile UTI occurrence for neurogenic bladder patients with routine CIC in our set factors. This may suggest CIC in male required more skill than female and severe spinal cord injury caused less motor function related to CIC performance and less motor and sensory function related to for bladder function. CONCLUSIONS Our data demonstrated that male and ASIA classification C or more severe impairment in spinal injury-associated neurogenic bladder patients with routine CIC were significant risk factors for febrile UTI. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e193 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Fukashi Yamamichi More articles by this author Katsumi Shigemura More articles by this author Shigeto Mukai More articles by this author Masashi Nomi More articles by this author Akihiro Yanagiuchi More articles by this author Atsushi Sengoku More articles by this author Kazushi Tanaka More articles by this author Soichi Arakawa More articles by this author Masato Fujisawa More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...