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Urinary Tract Infections in Patients with Spinal Injuries

  • Lindsay E. Nicolle
Genitourinary Infections (J Sobel, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Genitourinary Infections

Abstract

Urinary tract infection remains an important problem for patients with spinal cord injury. Interventions used to promote bladder emptying and maintain low-pressure voiding have variable risks for urinary tract infection. Asymptomatic bacteriuria is common in this population and should not be treated. However, identification of symptomatic infection is compromised by difficulties in ascertainment of symptoms. Use of hydrophilic coated catheters for intermittent catheterization does not influence the frequency of symptomatic urinary tract infection. Botulinum toxin injection in the detrusor muscle or the urethral sphincter improves bladder emptying and does not influence the frequency of urinary infection. Asymptomatic bacteriuria is a common finding in pregnant women with spinal cord injury, but optimal management is not clear. Other research needs include further development and evaluation of interventions to decrease the frequency of infection, improve diagnostic precision, and limit the emergence of resistant organisms.

Keywords

Urinary infection Bacteriuria Asymptomatic bacteriuria Spinal cord injury Botulinum toxin Intermittent catheter Hydrophilic catheter 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Lindsay E. Nicolle has no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the author.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Health Sciences CentreUniversity of ManitobaWinnipegCanada

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