To investigate factors associated with symptomatic urinary tract infection (sUTI) in persons with chronic spinal cord lesion (SCL) who were using single-use catheters for intermittent self-catheterization (ISC).
Among respondents to an internet survey on the burden of illness on persons with SCL who were considered to be able to perform ISC, 111 persons using single-use catheters were included to examine factors associated with self-reported sUTI by univariate as well as multivariable analysis.
The incidence of sUTI was significantly higher in males than in females (56.9% vs. 31.6%, p = .011), persons with stocks of antibiotics than those without it (82.9% vs. 28.6%, p < .011), and persons with more frequent bleeding during catheterization than those with less frequent bleeding (100% vs. 46.5%, p = .036). The incidence did not significantly differ between respective groups when various variables were evaluated by other characteristics of the participants, adherence to ISC procedures, and complications. On multivariable analysis, male gender and stocks of antibiotics were significant independent factors for sUTI.
Male gender and stocks of antibiotics were associated with sUTI in persons with SCL who were performing ISC with single-use catheters.
Lower urinary tract symptoms. 2024 May [Epub]
Noritoshi Sekido, Ryosuke Takahashi, Fujio Matsuyama, Murata Tatsunori, Mihoko Matsuoka, Atsushi Sengoku, Masashi Nomi, Takeya Kitta, Takahiko Mitsui
Department of Urology, Toho University Ohashi Medical Center, Tokyo, Japan., Department of Urology, Spinal Injuries Center, Fukuoka, Japan., CRECON Medical Assessment, Inc., Tokyo, Japan., Department of Rehabilitation Medicine, Aijinkai Rehabilitation Hospital, Osaka, Japan., Department of Urology, Hyogo Prefectural Central Rehabilitation Hospital, Kobe, Japan., Department of Renal and Urologic Surgery, Asahikawa Medical University, Asahikawa, Japan., Department of Urology, University of Yamanashi Graduate School of Medical Sciences, Yamanashi, Japan.