J 2022

Urinary tract infections in patients with multiple sclerosis and different methods of bladder evacuation

VARGA, Gabriel, Michal FEDORKO, Roman WASSERBAUER, J. MARKUSOVA, P. PRAKSOVA et. al.

Basic information

Original name

Urinary tract infections in patients with multiple sclerosis and different methods of bladder evacuation

Authors

VARGA, Gabriel (703 Slovakia, belonging to the institution), Michal FEDORKO (703 Slovakia, guarantor, belonging to the institution), Roman WASSERBAUER (203 Czech Republic, belonging to the institution), J. MARKUSOVA (203 Czech Republic), P. PRAKSOVA (203 Czech Republic), V. ADEDOKUN and Tuan Viet TRINH (203 Czech Republic, belonging to the institution)

Edition

ACTAS UROLOGICAS ESPANOLAS, MADRID, ELSEVIER ESPANA, 2022, 0210-4806

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30217 Urology and nephrology

Country of publisher

Spain

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.100

RIV identification code

RIV/00216224:14110/22:00128458

Organization unit

Faculty of Medicine

DOI

UT WoS

000903178100003

Keywords in English

Catheterization; Multiple sclerosis; Prevention; Recurrence; Urinary tract infection

Tags

Tags

International impact, Reviewed
Změněno: 31/1/2023 15:30, Mgr. Tereza Miškechová

Abstract

V originále

ntroduction and objectives: To evaluate the incidence and course of urinary tract infections (UTI) in patients with multiple sclerosis (MS) and their relationship to the method of bladder evacuation.Materials and methods: Patients with neurogenic bladder dysfunction due to MS (n = 111) were enrolled in the study. During one-year follow-up, clinical examination with urine culture was performed every 4 months or whenever symptoms occurred. The control group included patients with symptomatic UTI, without neurological or autoimmune disease. Incidence of symptomatic and asymptomatic bacteriuria, the effect of urine drainage on UTI incidence, and the effect of antibiotics were statistically evaluated.Results: Fifty-four MS patients completed the protocol. The mean incidence of symptomatic and asymptomatic bacteriuria in the MS group was 12.5% and 29.6%, respectively. A decreasing trend in the incidence of symptomatic, and an increasing trend in the incidence of asymptomatic bacteriuria was observed. Eradication of UTI in symptomatic MS patients was significantly lower than in controls (37.75% vs. 92.93%, P < .05). Causative agents significantly differed in both groups (P = .0005). The hypothesis that the incidence of UTIs in MS patients is independent of the method of bladder evacuation was not rejected (P > .99 at visit 0, 1 and 3, P = .078 at visit 2).Conclusions: There is a significant difference between the causative agents of UTI in both groups. Eradication of bacteriuria in symptomatic MS patients is difficult when compared to the normal population. We have insufficient evidence to confirm the relationship between the incidence of UTI and the method of bladder evacuation.(c) 2022 AEU.