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Journal of the Korean Academy of Rehabilitation Medicine 1992;16(4):438-442.
Urinary tract infections in patients with spinal cord injury.
Kueon, Soon Ho , Lee, Kang Mok
Department of Rehabilitation Medicine, Hanyang University College of Medicine
척수손상 환자에서의 비뇨기계 합병증
권순호, 이강목
한양대학교 의과대학 재활의학교실

Retrospective studies of urinary tract infection(UTI) were done on 67 patients with spinal cord injury(SCI) during 6 years from January 1986 to May 1992. The purpose of this study is to prevent and management of the urinary tract complications in SCI.

The results follows;

1) Age and sex distribution revealed 53 males(79.1%) and 14 females(20.9%) and the mean age of the male was 33.9(20-64) and the mean age of the female was 41.0(23-50)(table 1).

2) The most common cause of SCI was motor vehicle accidents(58.2%), the second common cause was falling from a height(22.4%) and the third common cause was blunt trauma(12.0%) etc(table 2).

3) The most common causative organism of UTI in SCI was pseudmonas aeruginosa(21.7%) and the second common organism was enterococcus(16.1%)(table 3).

4) Routine cultures revealed sterile urine in 34.3%, the colony count less than 100,000/ml in 14.9%, the colony count more than 100,000/ml with single organism in 32.7% and the colony more than 100,000/ml with multiple organism in 19.7%(table 4).

5) Pseudomonas aeruginsa was sensitive to amikacin, carbenicillin and tobramycin. Enterococus sensitive was to penicillin, amikacin and cefazolin. Escherichia coli was to amikacin, gentamycin and bactrim(table 5).

6) Other complications in SCI were vesicoureteral reflex(6.0%) and urinary stone(4.5%).

Key Words: Urinary tract infection, Spinal cord injury


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