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Risk Factors Associated With Recurrent Urinary Tract Infection in Neurogenic Bladders Managed by Clean Intermittent Catheterization.

Publication ,  Journal Article
Chaudhry, R; Balsara, ZR; Madden-Fuentes, RJ; Wiener, JS; Routh, JC; Seed, P; Ross, SS
Published in: Urology
April 2017

OBJECTIVE: To identify risk factors for recurrent urinary tract infection (UTI) in patients who perform clean intermittent catheterization (CIC). METHODS: A 6-year retrospective chart review of patients with spina bifida or tethered cord who perform clean intermittent catheterization (8 months to 58 years) was conducted. A strict case definition for UTI was applied, and per-subject UTI events, demographic, and clinical data were abstracted. Data were compared between groups defined by no or infrequent UTI (≤1.0 UTI/study year) and frequent UTI (>1.0 UTI/study year). RESULTS: Of 194 total patients, 146 (75%) had no UTIs or infrequent UTIs, and 48 (25%) patients had frequent UTIs. On univariate analysis, only younger age and suprasacral cord lesions were associated with frequent UTIs (P = .002 and P = .007, respectively). Among the 128 patients with urodynamic studies, bladder capacity, compliance, detrusor overactivity, and detrusor leak point pressure were not associated with frequent UTI on univariate analysis. On multivariate analysis, increasing age was found to be associated with decreased odds of UTI by 7% per year (odds ratio 0.93, P = .016). CONCLUSION: The risk of UTI among individuals with spina bifida or tethered cord declines with increasing age. Bladder function based on urodynamic parameters did not correlate with frequent UTIs.

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Published In

Urology

DOI

EISSN

1527-9995

Publication Date

April 2017

Volume

102

Start / End Page

213 / 218

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urodynamics
  • Urinary Tract Infections
  • Urinary Bladder, Neurogenic
  • Spinal Dysraphism
  • Risk Factors
  • Retrospective Studies
  • Recurrence
  • Outcome and Process Assessment, Health Care
  • Neural Tube Defects
 

Citation

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Chaudhry, R., Balsara, Z. R., Madden-Fuentes, R. J., Wiener, J. S., Routh, J. C., Seed, P., & Ross, S. S. (2017). Risk Factors Associated With Recurrent Urinary Tract Infection in Neurogenic Bladders Managed by Clean Intermittent Catheterization. Urology, 102, 213–218. https://doi.org/10.1016/j.urology.2016.12.049
Chaudhry, Rajeev, Zarine R. Balsara, Ramiro J. Madden-Fuentes, John S. Wiener, Jonathan C. Routh, Patrick Seed, and Sherry S. Ross. “Risk Factors Associated With Recurrent Urinary Tract Infection in Neurogenic Bladders Managed by Clean Intermittent Catheterization.Urology 102 (April 2017): 213–18. https://doi.org/10.1016/j.urology.2016.12.049.
Chaudhry R, Balsara ZR, Madden-Fuentes RJ, Wiener JS, Routh JC, Seed P, et al. Risk Factors Associated With Recurrent Urinary Tract Infection in Neurogenic Bladders Managed by Clean Intermittent Catheterization. Urology. 2017 Apr;102:213–8.
Chaudhry, Rajeev, et al. “Risk Factors Associated With Recurrent Urinary Tract Infection in Neurogenic Bladders Managed by Clean Intermittent Catheterization.Urology, vol. 102, Apr. 2017, pp. 213–18. Pubmed, doi:10.1016/j.urology.2016.12.049.
Chaudhry R, Balsara ZR, Madden-Fuentes RJ, Wiener JS, Routh JC, Seed P, Ross SS. Risk Factors Associated With Recurrent Urinary Tract Infection in Neurogenic Bladders Managed by Clean Intermittent Catheterization. Urology. 2017 Apr;102:213–218.
Journal cover image

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

April 2017

Volume

102

Start / End Page

213 / 218

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urodynamics
  • Urinary Tract Infections
  • Urinary Bladder, Neurogenic
  • Spinal Dysraphism
  • Risk Factors
  • Retrospective Studies
  • Recurrence
  • Outcome and Process Assessment, Health Care
  • Neural Tube Defects