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@article{2251544,
author = {Varga, Gabriel and Fedorko, Michal and Wasserbauer, Roman and Markusova, J. and Praksova, P. and Adedokun, V. and Trinh, Tuan Viet},
article_location = {MADRID},
article_number = {10},
doi = {http://dx.doi.org/10.1016/j.acuro.2022.03.006},
keywords = {Catheterization; Multiple sclerosis; Prevention; Recurrence; Urinary tract infection},
language = {eng},
issn = {0210-4806},
journal = {ACTAS UROLOGICAS ESPANOLAS},
title = {Urinary tract infections in patients with multiple sclerosis and different methods of bladder evacuation},
url = {https://www.sciencedirect.com/science/article/abs/pii/S0210480622001085?via%3Dihub},
volume = {46},
year = {2022}
}
TY - JOUR
ID - 2251544
AU - Varga, Gabriel - Fedorko, Michal - Wasserbauer, Roman - Markusova, J. - Praksova, P. - Adedokun, V. - Trinh, Tuan Viet
PY - 2022
TI - Urinary tract infections in patients with multiple sclerosis and different methods of bladder evacuation
JF - ACTAS UROLOGICAS ESPANOLAS
VL - 46
IS - 10
SP - 606-612
EP - 606-612
PB - ELSEVIER ESPANA
SN - 02104806
KW - Catheterization
KW - Multiple sclerosis
KW - Prevention
KW - Recurrence
KW - Urinary tract infection
UR - https://www.sciencedirect.com/science/article/abs/pii/S0210480622001085?via%3Dihub
N2 - 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.
ER -
VARGA, Gabriel, Michal FEDORKO, Roman WASSERBAUER, J. MARKUSOVA, P. PRAKSOVA, V. ADEDOKUN and Tuan Viet TRINH. Urinary tract infections in patients with multiple sclerosis and different methods of bladder evacuation. \textit{ACTAS UROLOGICAS ESPANOLAS}. MADRID: ELSEVIER ESPANA, 2022, vol.~46, No~10, p.~606-612. ISSN~0210-4806. Available from: https://dx.doi.org/10.1016/j.acuro.2022.03.006.
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