| Risk Factors for Urinary Tract Infection in Chronic Spinal Cord Injured Patients. |
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Han, Soo Jeong , Lee, Jeong Eun |
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Department of Rehabilitation Medicine, Ewha Womans University College of Medicine, Korea. ocrystal@ewha.ac.kr |
| 만성 척수 손상 환자의 요로 감염 위험 인자 |
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한수정, 이정은 |
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이화여자대학교 의과대학 재활의학교실 |
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| Abstract |
Obejctive: To survey the method of bladder management and to evaluate the risk factor for urinary tract infection in chronic spinal cord injured patients.
Method
We retrospectively reviewed the medical records and interviewed 129 spinal cord injured patients who have been for at least 2 years. We obtained demographic characteristics, associated factors, methods of bladder management and frequency of urinary tract infections. Logistic regression analysis and analysis of variance were done to evaluate the risk factor for urinary tract infection.
Results
The mean duration since spinal cord injury was 10.14 years. The method of bladder management was as follows: percussion and crede, valsalva maneuver (42.1%), clean intermittent catheterization (37.3%), combination of above 2 methods (9.4%), suprapubic catheter (4.7%), condom catheter (3.1%) and indwelling urethral catheter (2.3%). The overall incidence and frequency of urinary tract infection was 67.5%, 3.7 times/year respectively and was highest in indwelling urethral catheter group. The risk factors for urinary tract infection were age over 60, complete spinal cord injury (p＜0.05).
Conclusion
Complete spinal cord injury and old age are risk factors for urinary tract infection in chronic spinal cord injured patients. Incidence and frequency of urinary tract infection was affected by the method of bladder management. (J Korean Acad Rehab Med 2005; 29: 181-186) |
| Key Words:
Urinary tract infection, Chronic spinal cord injured, Neurogenic bladder, Bladder management |
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