ArticleJundishapur journal of microbiology2014
The prevalence, etiologic agents and risk factors for urinary tract infection among spinal cord injury patients.
Article in Jundishapur journal of microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Incidence and risk factors of urinary tract infection in patients with spinal cord injury: a meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Pooled it
- Is It Really the Foley? A Systematic Review of Bladder Management and Infection Risk.Topics in spinal cord injury rehabilitation · 2023Pooled it
- Infections in the spinal cord-injured population: a systematic review.Spinal cord · 2017Pooled it
- Effects of Uro-Vaxom vs. placebo on the urinary tract microbiome in individuals with spinal cord injury in a randomized controlled pilot trial (Uro-Vaxom pilot).Scientific reports · 2025Trial
- T-cell biomarkers improve urinary tract infection risk stratification beyond clinical characteristics after acute traumatic spinal cord injury.Scientific reports · 2026Observational
- Challenges and strategies for spinal cord injury research recruitment in rehabilitation hospitals: a single center perspective.Spinal cord · 2025Review
- Evaluation of a new model of care for bladder management in a statewide spinal cord service.Spinal cord · 2025Article
- Risk Factors and Consequences of Postoperative Urinary Tract Infections in Patients with Traumatic Cervical Cord Injury: A Retrospective Analysis.Spine surgery and related research · 2025Article
- Urinary Tract Infections in Relation to Bladder Emptying in Patients with Spinal Cord Injury.Journal of clinical medicine · 2024Article
- Incidence and risk factors of urinary tract infection in hospitalized patients with spinal cord injury in a hospital of China.Scientific reports · 2024Article
- A Comprehensive Review of Pyogenic Spondylitis Management for Neurosurgeons.Asian journal of neurosurgery · 2023Review
- Health Care Utilization and Cost Associated With Urinary Tract Infections in a Privately Insured Spinal Cord Injury Population.Topics in spinal cord injury rehabilitation · 2023Article
- Incidence of urinary tract infection following initiation of intermittent catheterization among patients with recent spinal cord injury in Germany and the Netherlands.The journal of spinal cord medicine · 2022Article
- Inflammation and Barrier Function Deficits in the Bladder Urothelium of Patients with Chronic Spinal Cord Injury and Recurrent Urinary Tract Infections.Biomedicines · 2022Article
- Clinical features and prognosis of COVID-19/SARS-CoV-2 infections in persons with spinal cord injury: a review of current literature.Spinal cord series and cases · 2021Article
- The impact of body mass index on one-year mortality after spinal cord injury.The journal of spinal cord medicine · 2021Article
- Epidemiology of traumatic spinal cord injuries in Colombia.Spinal cord series and cases · 2021Article
- Clinical and Radiological Outcomes After Surgical Treatment of Lower Limb Fractures in Patients With Spinal Cord Injury.Global spine journal · 2020Article
- Article
- Bladder management practices in spinal cord injury patients: A single center experience from a developing country.The journal of spinal cord medicine · 2019Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUrinary tract infections (UTIs) are important causes of morbidity and mortality in patients with spinal cord injury and 22% of patients with acute spinal cord injury develop UTI during the first 50 days.
objectivesThe aim of this study was to determine the prevalence, etiologic agents and risk factors for asymptomatic bacteriuria and symptomatic urinary tract infections in patients with spinal cord injury. PATIENTS AND
methodsThis was a prospective investigation of spinal cord injury patients with asymptomatic bacteriuria and symptomatic urinary tract infections in Baskent University Medical Faculty Ayas Rehabilitation Center and Ankara Physical Therapy and Rehabilitation Center between January 2008 and December 2010. The demographic status, clinical and laboratory findings of 93 patients with spinal cord injury were analyzed in order to determine the risk factors for asymptomatic or symptomatic bacteriuria.
resultsSixty three (67.7%) of 93 patients had asymptomatic bacteriuria and 21 (22.6%) had symptomatic urinary tract infection. Assessment of the frequency of urinary bladder emptying methods revealed that 57 (61.3%) of 93 patients employed permanent catheters and 24 (25.8%) employed clean intermittent catheterization. One hundred and thirty-five (48.0%) of 281 strains isolated form asymptomatic bacteriuria attacks and 16 (66.6%) of 24 strains isolated from symptomatic urinary tract infection attacks, totaling 151 strains, had multidrug resistance (P > 0.05). One hundred (70.4%) of 142 Escherichia coli strains and 19 (34.5%) of 55 Klebsiella spp strains proliferated in patients with asymptomatic bacteriuria; 8 (80%) of 10 E. coli strains and 4 (80%) of 5 Klebsiella spp. strains were multidrug resistant.
conclusionsThe most common infectious episode among spinal cord injury patients was found to be urinary tract ınfection. E. coli was the most common microorganism isolated from urine samples. Antibiotic use in the previous 2 weeks or 3 months, hospitalization during the last one-year and previous diagnosis of urinary tract ınfection were the risk factors identified for the development of infections with multi-drug resistant isolates. Urinary catheterization was found to be the only independent risk factor contributing to symptomatic urinary tract infection.
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