Editorial note on: Morbidity of urinary tract infection after urodynamic examination of hospitalized SCI patients: The impact of bladder management

摘要

Urodynamic investigations are the most important diagnostic tool for neurogenic lower urinary tract dysfunction in patients with spinal cord injury (SCI). However, the examination is invasive, as insertion of a catheter is required. The authors therefore investigate a relevant problem: do we need prophylactic antibiotics in patients undergoing urodynamic testing? It is difficult to understand why the authors chose inpatients for the study, as the risk for urinary tract infections (UTIs) is generally higher for hospitalized patients. For example, in acute SCI patients, intermittent catheterization has not always been firmly established, making handling errors probable. This is reflected by the fact that UTI were less frequent in patients catheterized by attendants than in those performing self-catheterization.