Factors associated with symptomatic urinary tract infection in persons with spinal cord lesions who perform clean intermittent catheterization with single-use catheters

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

LUTS: Lower Urinary Tract Symptoms Pub Date : 2024-05-01 DOI:10.1111/luts.12515

Noritoshi Sekido, Ryosuke Takahashi, Fujio Matsuyama, Tatsunori Murata, Mihoko Matsuoka, Atsushi Sengoku, Masashi Nomi, Takeya Kitta, Takahiko Mitsui

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引用次数: 0

Abstract

Objectives

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.

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使用一次性导尿管进行清洁间歇性导尿的脊髓损伤患者出现症状性尿路感染的相关因素

目的调查使用一次性导尿管进行间歇性自我导尿（ISC）的慢性脊髓损伤（SCL）患者出现症状性尿路感染（sUTI）的相关因素。方法在一项关于被认为能够进行间歇性自我导尿的 SCL 患者疾病负担的互联网调查的受访者中，纳入了 111 名使用一次性导尿管的患者，通过单变量和多变量分析来研究与自我报告的 sUTI 相关的因素。结果男性的 sUTI 发生率明显高于女性（56.9% 对 31.6%，p = .011），使用过抗生素的人明显高于未使用过抗生素的人（82.9% 对 28.6%，p < .011），导管插入过程中出血次数较多的人明显高于出血次数较少的人（100% 对 46.5%，p = .036）。根据参与者的其他特征、对 ISC 程序的遵守情况以及并发症等各种变量进行评估后，各组之间的发病率没有明显差异。在多变量分析中，男性性别和抗生素库存是导致 sUTI 的重要独立因素。结论在使用一次性导管进行 ISC 的 SCL 患者中，男性性别和抗生素库存与 SUTI 相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.