Bacteriuria in spinal cord injured patients with neurogenic bladder dysfunction
2004 (English)In: Uppsala Journal of Medical Sciences, ISSN 0300-9734, Vol. 109, no 1, 25-32 p.Article in journal (Refereed) Published
The occurrence of bacteriuria in spinal cord injured patients with neurogenic bladder dysfunction who used clean intermittent catheterisation to empty their bladders was studied in order to examine cut-off concentration breakpoints for significant bacteriuria in this group of patients using procedures of the European Urinanalysis Guideline. 344 samples were cultured, yielding 285 isolates. Coagulase-negative staphylococci (27 %), Enterococci (25 %), Klebsiella spp (19 %), and Escherichia coli (12 %) were the most common findings. Bacteria grew at concentrations of 105-108 cfu/L, but only a few at 104 cfu/L. It is concluded that low bacterial concentrations in the urine (105 cfu/L) of patients with neurogenic bladder dysfunction who are on intermittent catheterisation might be as significant for bladder contamination with bacteria as a high bacterial concentration and can possibly be responsible for bladder infections.
Place, publisher, year, edition, pages
2004. Vol. 109, no 1, 25-32 p.
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-22702Local ID: 1998OAI: oai:DiVA.org:liu-22702DiVA: diva2:243015