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.

Základní údaje

Originální název

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

Autoři

VARGA, Gabriel (703 Slovensko, domácí), Michal FEDORKO (703 Slovensko, garant, domácí), Roman WASSERBAUER (203 Česká republika, domácí), J. MARKUSOVA (203 Česká republika), P. PRAKSOVA (203 Česká republika), V. ADEDOKUN a Tuan Viet TRINH (203 Česká republika, domácí)

Vydání

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

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30217 Urology and nephrology

Stát vydavatele

Španělsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 1.100

Kód RIV

RIV/00216224:14110/22:00128458

Organizační jednotka

Lékařská fakulta

UT WoS

000903178100003

Klíčová slova anglicky

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

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 31. 1. 2023 15:30, Mgr. Tereza Miškechová

Anotace

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.