Urinary Tract Infection Diagnostic and Management Considerations in People with Spinal Cord Injury and Neurogenic Bladder.

Infect Dis Clin North Am

Department of Medicine, Division of Infectious Diseases, University of Colorado Anschutz Medical Center, CU Research Complex II, 12700 East 19th Avenue. Mail Stop B168, Aurora, CO 80045, USA.

Published: June 2024

AI Article Synopsis

  • Urinary tract infections (UTIs) are frequent issues for individuals with neurogenic bladder, complicating prevention, diagnosis, and treatment.
  • The challenges arise from high rates of asymptomatic bacteriuria, reliance on catheters, unclear symptoms, risk of complications, and limited prevention options.
  • Research efforts focus on better identifying UTI symptoms, reducing unnecessary urine cultures, selecting suitable antibiotics, and discovering new preventive strategies.

Article Abstract

Urinary tract infections (UTIs) are common complications in people with neurogenic bladder. Prevention, diagnosis, and treatment are challenging for several reasons, including a high prevalence of asymptomatic bacteriuria and catheter use, frequent ambiguous nonlocalizing signs and symptoms, increased risk for complications and difficult-to-treat pathogens, and a lack of effective preventative methods. Current research aims to improve elicitation and evaluation of signs and symptoms, implement algorithms to avoid urine cultures in asymptomatic patients and use appropriate antibiotics for UTI, and identify novel effective prevention methods.

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Source
http://dx.doi.org/10.1016/j.idc.2024.03.012DOI Listing

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