Bacteriuria and urinary tract infection after urodynamic examination of spinal cord injury patients

摘要

Bothig et atl have analyzed the incidence of urinary tract infection (UTI) after urodynamic studies (UDS) in spinal cord injury (SCI) patients. This issue is of utmost importance, as UDS is an invasive procedure frequently indicated to these patients, but the need of prophylactic antibiotics is not well established. Despite the fact that all participants on the Bothig study were into the hospital,1 a high proportion of patients with basal sterile urine (93/133 = 69.9%) is outstanding.2 Independently from the bladder management method, a higher incidence of UTI among patients with unsuspected bacteriuria prior to UDS was observed (32.5% versus 8.6% among patients with basal sterile urine; Mantel-Haenszel summary %2 = 22.31; P<0.0001).