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Urinary Infection and Complications During Clean Intermittent Catheterization Following Spinal Cord Injury

1984; Lippincott Williams & Wilkins; Volume: 132; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(17)49959-9

1527-3792

Frederick Maynard, Ananias C. Diokno,

Spinal Dysraphism and Malformations

No AccessJournal of Urology1 Nov 1984Urinary Infection and Complications During Clean Intermittent Catheterization Following Spinal Cord Injury Frederick M. Maynard, and Ananias C. Diokno Frederick M. MaynardFrederick M. Maynard , and Ananias C. DioknoAnanias C. Diokno View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)49959-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A total of 50 patients with recent spinal cord injury secondary to trauma participated in a prospective study of urinary complications during an interval of clean intermittent catheterization at initial hospitalization in a spinal cord injury unit. Patients were assigned randomly to groups receiving or not receiving a prophylactic antibacterial preparation. Both groups were divided further into subgroups in which laboratory infections (bacteriuria more than 100,000 organisms per ml.) were treated with definitive antibiotics or in which antibiotic treatment was given only for clinical infections (fever more than 100F or urethral discharge and bacteriuria). Antibacterial prophylaxis significantly reduced the probability of laboratory infection but not the probability of clinical infection, although a trend was noted toward fewer clinical infections. No significant reduction was noted in the probability of clinical infection in subgroups treated promptly for laboratory infection. © 1984 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByGinsberg D, Boone T, Cameron A, Gousse A, Kaufman M, Keays E, Kennelly M, Lemack G, Rovner E, Souter L, Yang C and Kraus S (2021) The AUA/SUFU Guideline on Adult Neurogenic Lower Urinary Tract Dysfunction: Diagnosis and EvaluationJournal of Urology, VOL. 206, NO. 5, (1097-1105), Online publication date: 1-Nov-2021.ZOMMICK J, SIMONEAU A, SKINNER D and GINSBERG D (2018) Continent Lower Urinary Tract Reconstruction in the Cervical Spinal Cord Injured PopulationJournal of Urology, VOL. 169, NO. 6, (2184-2187), Online publication date: 1-Jun-2003.ESCLARÍN DE RUZ A, GARCÍA LEONI E and HERRUZO CABRERA R (2018) EPIDEMIOLOGY AND RISK FACTORS FOR URINARY TRACT INFECTION IN PATIENTS WITH SPINAL CORD INJURYJournal of Urology, VOL. 164, NO. 4, (1285-1289), Online publication date: 1-Oct-2000.WELD K and DMOCHOWSKI R (2018) EFFECT OF BLADDER MANAGEMENT ON UROLOGICAL COMPLICATIONS IN SPINAL CORD INJURED PATIENTSJournal of Urology, VOL. 163, NO. 3, (768-772), Online publication date: 1-Mar-2000.HULL R, RUDY D, DONOVAN W, SVANBORG C, WIESER I, STEWART C and DAROUICHE R (2018) URINARY TRACT INFECTION PROPHYLAXIS USING ESCHERICHIA COLI 83972 IN SPINAL CORD INJURED PATIENTSJournal of Urology, VOL. 163, NO. 3, (872-877), Online publication date: 1-Mar-2000.Sylora J, Gonzalez R, Vaughn M and Reinberg Y (2018) Intermittent Self-Catheterization by Quadriplegic Patients Via a Catheterizable Mitrofanoff ChannelJournal of Urology, VOL. 157, NO. 1, (48-50), Online publication date: 1-Jan-1997.Sutherland R, Kogan B, Baskin L and Mevorach R (2018) Clean Intermittent Catheterization in Boys Using the Lofric CatheterJournal of Urology, VOL. 156, NO. 6, (2041-2043), Online publication date: 1-Dec-1996.Waller L, Jonsson O, Norlen L and Sullivan L (2018) Clean Intermittent Catheterization in Spinal Cord Injury Patients: Long-Term Followup of a Hydrophilic Low Friction TechniqueJournal of Urology, VOL. 153, NO. 2, (345-348), Online publication date: 1-Feb-1995.Appell R (2018) Editorial: Neurogenic BladderJournal of Urology, VOL. 152, NO. 6 Part 1, (2086-2086), Online publication date: 1-Dec-1994.Bakke A and Emil Vollset S (2018) Risk Factors for Bacteriuria and Clinical Urinary Tract Infection in Patients Treated with Clean Intermittent CatheterizationJournal of Urology, VOL. 149, NO. 3, (527-531), Online publication date: 1-Mar-1993.Perkash I and Giroux J (2018) Clean Intermittent Catheterization in Spinal Cord Injury Patients: A Followup StudyJournal of Urology, VOL. 149, NO. 5 Part 1, (1068-1071), Online publication date: 1-May-1993.Wyndaele J and Maes D (2018) Clean Intermittent Self-Catheterization: a 12-Year FollowupJournal of Urology, VOL. 143, NO. 5, (906-908), Online publication date: 1-May-1990.Reisman E and Preminger G (2018) Bladder Perforation Secondary to Clean Intermittent CatheterizationJournal of Urology, VOL. 142, NO. 5, (1316-1317), Online publication date: 1-Nov-1989.Mohler J, Cowen D and Flanigan R (2018) Suppression and Treatment of Urinary Tract Infection in Patients with an Intermittently Catheterized Neurogenic BladderJournal of Urology, VOL. 138, NO. 2, (336-340), Online publication date: 1-Aug-1987.Klein E, Wood D and Kay R (2018) Retained Straight Catheter: Complication of Clean Intermittent CatheterizationJournal of Urology, VOL. 135, NO. 4, (780-781), Online publication date: 1-Apr-1986. Volume 132Issue 5November 1984Page: 943-946 Advertisement Copyright & Permissions© 1984 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Frederick M. Maynard More articles by this author Ananias C. Diokno More articles by this author Expand All Advertisement Loading ...