Urinary Tract Utis Case Studies

Urinary tract infections (UTI) still cause significant morbidity in patients with spinal cord injury, although mortality due to urinary tract complications has decreased dramatically (1). Patients with spinal cord injurie (SCI) and complete or incomplete paraplegia are prone to frequent, recurrent or chronic UTI. The reason for the increased risk of acquiring UTI is multifactorial, including reduced sensation of classical UTI symptoms, incomplete bladder emptying, frequent catheterizations or chronic urinary tract catheters (2). The rate of UTI in SCI patient is 2.5 episodes in patient per year. UTI is second leading cause of mortality in SCI patients (3). Patients with SCI who have urinary catheters have an increased risk of UTI. Urinary tract infection …show more content…
The risk of infection is higher with longer time catheterization and it is safe to remove it early after surgery. Latex and silicone catheters have the same infection rates, but Foley catheters cause more symptomatic bacteriuria and UTI than intermittent catheterizations. Changing the drainage bags and adding antiseptic solution to bags cannot prevent UTI in patients (5). There are several risk factors for UTI in SCI patients. Reflux of vesicoureteral, post voiding residuals, outlet obstruction, urinary tract stones and bladder over distension (6). These patients are exposed to antibiotics because of frequent infections that may be an important risk factor for resistant microorganism infection (7). Today, UTI may be difficult to treat in SCI patient because of antibiotic resistant organisms. The SCI patients also colonized by resistant organisms because of recurrent and prolong hospitalization (8). The main causative agent of UTI in SCI population usually derived from the patient’s flora. The indwelling catheter has a great role in infection and the duration of catheterization is the most important risk factor. If the patient