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
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.