Early urinary tract infection after spinal cord injury: a retrospective inpatient cohort study

Study design Retrospective audit. Objectives Examine factors associated with urinary tract infection (UTI), UTI incidence and impact on hospital length of stay (LOS) in new, inpatient adult traumatic spinal cord injury (SCI). Setting Western Australian Hospitals managing SCI patients. Methods Data o...

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Bibliographic Details
Published in:Spinal cord 2020-01, Vol.58 (1), p.25-34
Main Authors: Goodes, Louise M., King, Gabrielle K., Rea, Alethea, Murray, Kevin, Boan, Peter, Watts, Anne, Bardsley, Jen, Hartshorn, Carly, Thavaseelan, Jeffrey, Rawlins, Matthew, Brock, James A., Dunlop, Sarah A.
Format: Article
Language:English
Subjects:
692/308/2779/109/1940
692/617/375/1824
Adult
Anatomy
Biomedical and Life Sciences
Biomedicine
Bladder
Catheters, Indwelling - statistics & numerical data
Cohort analysis
Confidence intervals
Human Physiology
Humans
Incidence
Infections
Inpatients - statistics & numerical data
Length of Stay - statistics & numerical data
Medical records
Middle Aged
Neurochemistry
Neuropsychology
Neurosciences
Patients
Retrospective Studies
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - epidemiology
Time Factors
Urinary Catheterization - adverse effects
Urinary Catheterization - statistics & numerical data
Urinary tract
Urinary tract diseases
Urinary tract infections
Urinary Tract Infections - epidemiology
Urinary Tract Infections - etiology
Urogenital system
Western Australia - epidemiology
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Description
Summary:Study design Retrospective audit. Objectives Examine factors associated with urinary tract infection (UTI), UTI incidence and impact on hospital length of stay (LOS) in new, inpatient adult traumatic spinal cord injury (SCI). Setting Western Australian Hospitals managing SCI patients. Methods Data on UTIs, bladder management and LOS were obtained from hospital databases and medical records over 26 months. Adherence to staff-administered intermittent catheterisation (staff-IC) was determined from fluid balance charts. Results Across the cohort ( n  = 70) UTI rate was 1.1 starts/100 days; UTI by multi-resistant organisms 0.1/100 days. Having ≥1 UTIs compared with none and longer duration of initial urethral indwelling catheterisation (IDC) were associated with longer LOS ( p -values 
ISSN:1362-4393
1476-5624
DOI:10.1038/s41393-019-0337-6