Moloney P J, Doyle A A, Robinson B L, Fenster H, McLoughlin M G
J Urol. 1981 May;125(5):672-3. doi: 10.1016/s0022-5347(17)55158-7.
In a small pilot study urinary tract infection in patients with acute spinal injury was preceded by the establishment of Enterobacteriaceae on the introitus, glans and urethra. Those patients who retain the normal flora do not become infected. The first infection most commonly is by Escherichia coli with universal antibiotic sensitivities. Female patients with a history of urinary infections and male patients with a history of bacterial prostatitis are at risk for suffering recurrent infections. Saline or chlorhexidine gluconate pre-catheter preparation does not appear to relate to a continual status free of infection.
在一项小型试点研究中，急性脊髓损伤患者发生尿路感染之前，尿道口、龟头和尿道已出现肠杆菌科细菌。那些保留正常菌群的患者不会感染。首次感染最常见的是对所有抗生素敏感的大肠杆菌。有尿路感染病史的女性患者和有细菌性前列腺炎病史的男性患者有反复感染的风险。导管插入术前用生理盐水或葡萄糖酸氯己定准备似乎与持续无感染状态无关。
