Kennelly Michael, Thiruchelvam Nikesh, Averbeck Márcio Augusto, Konstatinidis Charalampos, Chartier-Kastler Emmanuel, Trøjgaard Pernille, Vaabengaard Rikke, Krassioukov Andrei, Jakobsen Birte Petersen
Department of Urology, Carolinas Medical Center, Charlotte, NC, USA.
Department of Urology, Addenbrooke's Hospital, Cambridge, UK.
Adv Urol. 2019 Apr 2;2019:2757862. doi: 10.1155/2019/2757862. eCollection 2019.
A risk factor model for urinary tract infections in patients with adult neurogenic lower urinary tract dysfunction performing clean intermittent catheterisation was developed; it consists of four domains, namely, (1) general (systemic) conditions in the patient, (2) individual urinary tract conditions in the patient, (3) routine aspects related to the patient, and (4) factors related to intermittent catheters . The conceptual model primarily concerns patients with spinal cord injury, spina bifida, multiple sclerosis, or cauda equina where intermittent catheterisation is a normal part of the bladder management. On basis of several literature searches and author consensus in case of lacking evidence, the model intends to provide an overview of the risk factors involved in urinary tract infections, with specific emphasis to describe those that in daily practice can be handled and modified by the clinician and so come to the benefit of the individual catheter user in terms of fewer urinary tract infections.
针对成年神经源性下尿路功能障碍患者在进行清洁间歇性导尿时发生尿路感染的风险因素模型已被建立；它由四个领域组成，即：（1）患者的一般（全身）状况，（2）患者的个体尿路状况，（3）与患者相关的常规方面，以及（4）与间歇性导尿管相关的因素。该概念模型主要涉及脊髓损伤、脊柱裂、多发性硬化症或马尾神经损伤患者，在这些患者中，间歇性导尿是膀胱管理的正常组成部分。基于多次文献检索以及在缺乏证据情况下的作者共识，该模型旨在概述尿路感染所涉及的风险因素，特别强调描述那些在日常实践中临床医生可以处理和改变的因素，从而使个体导尿使用者受益，减少尿路感染的发生。
