Associated factors with urinary tract infection in spinal cord injured patients with applied bladder management/Mesane rehabilitasyonu uygulanan spinal kord yaralanmali hastalarda uriner sistem enfeksiyonu ile iliskili faktorler

• Published in: Türkiye fiziksel tip ve rehabilitasyon dergisi 2009-06, p.55
• Main Authors: Oz, Bengi, Sengul, Ilker, Olmez, Nese, Memis, Asuman
• Format: Article
• Language: Turkish
• Subjects: Complications and side effects; Diagnosis; Drug therapy; Methods; Prevalence studies (Epidemiology); Risk factors; Spinal cord injuries; Urinary tract infections
• ISSN: 1302-0234

Objective: We aimed to find out the prevalence urinary tract infection and its associated factors at admission, the frequency of urinary tract infection (UTp, cultured microorganisms and associated factors with UTI during rehabilitation period and also to observe the discharge urinary drainage methods after inpatient bladder management (IBM) in spinal cord injured (SCI) patients. Materials and Methods: We performed a cross-sectional analysis of 63 SCI patients and prospectively evaluated a cohort of 52 of these patients for UTI. The association of UTI with demographic and clinical characteristics of 63 patients were investigated at admission. Fifty-two patients were followed up to detect UTI during rehabilitation period. The patients were grouped according to the frequency of UTI and risk factors for UTI were determined by comparing the groups. The species of microorganism resulting in UTI were also obtained. Results: The patients with UTI were associated with pyuria at admission (p=0.000). In the urine culture samples mostly yielded were Eschericia coli (E. coli) and Pseudomonas aeruginosa. The patients experienced more than one UTI had longer length of stay compared to other patients (P=0.000). The ratio of patients with intermittent catheterization (IC) were 68.2% and 21% of them were catheter-free at discharge. Conclusion: SCI patients had high ratio of bacteriuria at admission. Pyuria was the laboratory parameter indicating UTI. E. coli was the most often observed microorganism affecting SCI patients during IBM. The number of UTI episodes was associated with length of stay. Turk J Phys Med Rehab 2009;55:55-9. Key Words: Bladder management, urinary tract infection, spinal cord injury Amac: Spinal kord yaralanmali (SKY) hastalarin rehabilitasyonunun baslangicinda idrar yolu enfeksiyonunun (IYE) prevalansi ve iliskili faktorler, rehabilitasyon surecinde gelisen IYE sikligi, iliskili faktorler ve ureyen mikroorganizmalar ve mesane egitimi sonrasi hastalarin mesane bosaltim yontemlerinin belirlenmesi amaclanmistir. Gerec ve Yontem: SKY'li 63 hastada kesitsel analiz yapilmistir. Elli iki has ta prospektif olarak IYE gelisimi acisindan izlenmistir. SKY'li 63 hastanin demografik ve klinik ozellikleri ve baslangicta var olan IYE ile iliskili faktorler arastirilmistir. Elli iki hasta rehabilitasyon periyodu boyunca IYE acisindan takip edilmistir. Hastalar IYE sikligina gore gruplanarak risk faktorleri acisindan karsilastirilmistir. IYE'ye neden olan mikroorgani