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  4. Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community

Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community

Scientific Reports, 2023 · DOI: 10.1038/s41598-023-44697-0 · Published: October 11, 2023

Spinal Cord InjuryUrologyImmunology

Simple Explanation

This study investigates urinary tract infections (UTIs) and clean intermittent catheterization (CIC) use among Chinese community-based spinal cord injury (SCI) patients. The study found that UTIs are more prevalent in this population compared to those in medically developed countries. The research suggests that irregular CIC use is a significant risk factor for UTIs, emphasizing the need for better caregiver support and standardized CIC practices.

Study Duration
August 3 and August 31, 2020
Participants
3120 community patients with spinal cord injury
Evidence Level
Cross-sectional study

Key Findings

  • 1
    The prevalence of UTIs in Chinese community SCI patients was 72.9%, higher than reported in developed countries.
  • 2
    CIC was associated with a lower incidence of UTIs compared to urinary indwelling catheters (UIC) and suprapubic catheters (SPC).
  • 3
    Most risk factors for UTIs in CIC patients were linked to irregular use, highlighting adherence issues.

Research Summary

This study aimed to understand the status of UTIs and bladder management in Chinese community-based SCI patients. The findings indicate a higher prevalence of UTIs in this population compared to developed countries and in-hospital patients in China. The study suggests the need for improved CIC adherence through stronger support and standardized practices to reduce UTIs.

Practical Implications

Clinical Practice

Prioritize CIC as the preferred bladder emptying method for SCI patients unable to void independently.

Patient Support

Provide enhanced caregiver and financial assistance to improve adherence to CIC regimens.

Database Establishment

Create a national database of Chinese SCI patients to facilitate better management and standardized CIC operations.

Study Limitations

  • 1
    UTI determination may be controversial due to lack of laboratory results
  • 2
    Data were obtained from self-reported questionnaires
  • 3
    Lack of urodynamic data and standard neurological classification

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