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BLADDER IRRIGATION WITH CHLORHEXIDINE REDUCES BACTERIURIA IN PERSONS WITH SPINAL CORD INJURY
Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
2018 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 50, no 2, p. 181-184Article in journal (Refereed) Published
Abstract [en]

Objective: To explore whether bladder irrigation with chlorhexidine: (i) can reduce bacteriuria, and (ii) is a practically feasible option in subjects with spinal cord injury practicing intermittent self-catheterization. Design: A prospective, non-controlled, open, multicentre study. Methods: Fifty patients with spinal cord injury, practicing intermittent self-catheterization, with a history of recurrent urinary tract infections were screened for bacteriuria at follow-up visits to 4 spinal cord injury centres in Sweden. Twenty-three patients had a positive urine culture (amp;gt; 105 CFU/ml of amp;gt; 1 bacterial species), of which 19 completed the study. Subjects proceeded with bladder irrigation, using 120 ml of 0.2% chlorhexidine solution twice daily for up to 7 days. Urine samples were taken twice daily. Response to treatment was defined as reduction in bacterial counts to amp;lt; 103 CFU/ml. Results: Fourteen of 19 subjects reduced their bacterial counts to or below the set limit. Subsequent return of above-endpoint bacteriuria was seen in most of the subjects. However, there were significantly fewer subjects with bacteriuria after treatment (p amp;lt; 0.005). Conclusion: Bladder irrigation with chlorhexidine, using intermittent self-catheterization, reduced bacteriuria in the majority of subjects with spinal cord injury and bacteriuria. The addition of bladder irrigation was practically feasible in the short time-frame of this study.

Place, publisher, year, edition, pages
FOUNDATION REHABILITATION INFORMATION , 2018. Vol. 50, no 2, p. 181-184
Keywords [en]
bladder irrigation; bacteriuria; clean intermittent catheterization; spinal cord injury
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-145456DOI: 10.2340/16501977-2298ISI: 000425239300007PubMedID: 29355293OAI: oai:DiVA.org:liu-145456DiVA, id: diva2:1192862
Note

Funding Agencies|company Wellspect Health-Care

Available from: 2018-03-23 Created: 2018-03-23 Last updated: 2018-04-13

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