Department of Urology, Toho University Ohashi Medical Center, Tokyo, Japan.
Department of Urology, Spinal Injuries Center, Fukuoka, Japan.
Low Urin Tract Symptoms. 2024 May;16(3):e12515. doi: 10.1111/luts.12515.
To investigate factors associated with symptomatic urinary tract infection (sUTI) in persons with chronic spinal cord lesion (SCL) who were using single-use catheters for intermittent self-catheterization (ISC).
Among respondents to an internet survey on the burden of illness on persons with SCL who were considered to be able to perform ISC, 111 persons using single-use catheters were included to examine factors associated with self-reported sUTI by univariate as well as multivariable analysis.
The incidence of sUTI was significantly higher in males than in females (56.9% vs. 31.6%, p = .011), persons with stocks of antibiotics than those without it (82.9% vs. 28.6%, p < .011), and persons with more frequent bleeding during catheterization than those with less frequent bleeding (100% vs. 46.5%, p = .036). The incidence did not significantly differ between respective groups when various variables were evaluated by other characteristics of the participants, adherence to ISC procedures, and complications. On multivariable analysis, male gender and stocks of antibiotics were significant independent factors for sUTI.
Male gender and stocks of antibiotics were associated with sUTI in persons with SCL who were performing ISC with single-use catheters.
调查使用单剂量导管间歇性自我导尿的慢性脊髓损伤（SCL）患者中与症状性尿路感染（sUTI）相关的因素。
在一项针对 SCL 患者疾病负担的互联网调查中，对被认为能够进行 ISC 的患者进行了调查，共纳入 111 名使用单剂量导管的患者，通过单变量和多变量分析来检查与自我报告的 sUTI 相关的因素。
男性 sUTI 的发生率明显高于女性（56.9% vs. 31.6%，p = .011），有抗生素储备的患者高于无抗生素储备的患者（82.9% vs. 28.6%，p < .011），导管插入过程中出血更频繁的患者高于出血不频繁的患者（100% vs. 46.5%，p = .036）。当通过参与者的其他特征、ISC 程序的依从性和并发症评估各种变量时，各组之间的发生率没有显著差异。多变量分析显示，男性和抗生素储备是 sUTI 的独立显著因素。
在使用单剂量导管进行 ISC 的 SCL 患者中，男性和抗生素储备与 sUTI 相关。
