ERIC Number: ED414662
Record Type: Non-Journal
Publication Date: 1992
Reference Count: N/A
The Prevention and Management of Urinary Tract Infection among People with Spinal Cord Injuries.
NIDRR Consensus Statement, v1 n1 1992
A 1992 Urinary Tract Infection Consensus Validation Conference brought together researchers, clinicians, and consumers to arrive at consensus on the best practices for preventing and treating urinary tract infections (UBI) in people with spinal cord injuries; the risk factors and diagnostic studies that should be done; indications for antibiotic use; appropriate follow-up management; and needed future research (with education and training issues covered on page 24). Urinary tract infection was defined as bacteriuria with tissue invasion and resultant tissue response with signs and/or symptoms. Risk factors were found to include: over-distention of bladder, vesicoureteral reflux, high pressure voiding, large post-void residuals, presence of stones in urinary tract, and outlet obstruction. Possible physiologic/structural, behavioral, and demographic risk factors were identified also. Indwelling catheterization, including suprapubic and urinary diversion are the drainage methods most likely to lead to persistent bacteriuria. Infection risk is found to be reduced with intermittent catheterization, but people with more severe disabilities who require catheterization by others are at greater risk for UTIs. Clean self-intermittent catheterization does not pose a greater risk of infection than sterile self-intermittent catheterization and is much more economical. Criteria for the diagnosis of UBI is discussed and symptomatic UBI is recommended to be treated with antibiotics for 7-14 days. (Author/CR)
Descriptors: Clinical Diagnosis, Evaluation Methods, Medical Evaluation, Medical Services, Outcomes of Treatment, Physical Disabilities, Symptoms (Individual Disorders)
James E. Doherty, The National Institute on Disability and Rehabilitation Research, 400 Maryland Ave., S.W., Washington, DC 20202-2646; telephone: 202-205-9151.
Publication Type: Collected Works - Serials; Guides - Non-Classroom
Education Level: N/A
Authoring Institution: National Inst. on Disability and Rehabilitation Research (ED/OSERS), Washington, DC.