Prevention of Urinary Tract Infections in Persons with Spinal Cord Injury in Home Health Care

@article{Eves2010PreventionOU,
  title={Prevention of Urinary Tract Infections in Persons with Spinal Cord Injury in Home Health Care},
  author={Faith J Eves and Natacha Rivera},
  journal={Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional},
  year={2010},
  volume={28},
  pages={230–241}
}
  • Faith J EvesN. Rivera
  • Published 1 April 2010
  • Medicine
  • Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional
More than 250,000 persons in the United States live with spinal cord injury (SCI), and 10,000 to 12,000 new injuries occur each year. Of these spinal cord injured persons, 53% have tetraplegia, 46% have paraplegia, and less than 1% experience complete neurologic recovery. About 48% have complete injuries (i.e., full quadriplegia) and 52% have incomplete injuries (Consortium for Spinal Cord Medicine, 2006; National Spinal Cord Injury Statistical Center, 2008). Almost all persons with neurologic… 

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This position statement represents a set of recommendations intended to provide clinical guidelines for sport and exercise medicine physicians and other healthcare providers for the prevention and treatment of urinary tract infection in spinal cord injured athletes.

A Review of Educational Programs to Reduce UTIs Among Individuals with SCI

There is limited positive evidence that education programs reduce the incidence of UTIs, andOptimal urinary health of individuals with SCI may be optimized via education programs that provide information and enhance skills.

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The home care guidelines are valid and reliable and enable caregivers to provide the best possible care to their patient at home to prevent development of complications.

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Ultrasound and magnetic resonance imaging are considered first-line imaging modalities for suspected renal colic or complications of urinary tract infections in patients with iodinated contrast allergies or pregnant patients (ultrasound or non-contrast MRI).

Cranberry and Recurrent Cystitis: More than Marketing?

Analysis of clinical studies and evaluation of the cranberry efficacy/safety ratio in the prevention of UTIs strongly support the use of cranberry in the prophylaxis of recurrent UTIs in young and middle-aged women, and evidence of its clinical use among other patients remains controversial.

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RESEARCH ARTICLE LABORATORY DIAGNOSIS OF URINARY TRACT INFECTIONS: A REVIEW

The purpose of this review is to summarize the laboratory diagnosis of routine UTI using current diagnostic methods, and will not cover the diagnosis of UTI in special patient populations, a topic that merits a separate review.

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The data suggest that methenamine therapy is an effective prevention of UTI in paralyzed patients with neurogenic bladder dysfunction during the rehabilitation in hospital.

Evaluation of cranberry tablets for the prevention of urinary tract infections in spinal cord injured patients with neurogenic bladder

Cranberry extract tablets should be considered for the prevention of UTI in SCI patients with neurogenic bladder, and patients with a high GFR may receive the most benefit.

Spinal-injured neuropathic bladder antisepsis (SINBA) trial

There is no benefit in the prevention of UTI from the addition of MH or cranberry tablets to the usual regimen of patients with neuropathic bladder following SCI.

Urethral versus suprapubic catheter: choosing the best bladder management for male spinal cord injury patients with indwelling catheters

Overall, bladder management for patients with chronic indwelling catheters should be selected on the basis of long-term comfort for the patient and a physician mind-set that allows flexibility in managing these challenges.

Evaluation Of Cranberry Supplement For Reduction Of Urinary Tract Infections In Individuals With Neurogenic Bladders Secondary To Spinal Cord Injury.A Prospective, Double-Blinded, Placebo–Controlled, Crossover Study

Cranberry tablets were not found to be effective at changing urinary pH or reducing bacterial counts, urinary WBC counts, or UTis in individuals with neuragenie bladders.

Bladder management for adults with spinal cord injury: a clinical practice guideline for health-care providers.

Data extraction involves the capturing of various data elements from each study using data extraction forms (DEFs) designed specifically for this project, which resulted in 71 papers being accepted for data extraction.

Effect Of Cranberry Extract On Bacteriuria and Pyuria in Persons With Neurogenic Bladder Secondary To Spinal Cord Injury

Cranberry extract taken in ca psule form did not reduce bact eriuria and pyuria in persans with SCI and cannot be recommended as a means to treat these conditions.

Nursing Interventions to Reduce the Risk of Catheter‐Associated Urinary Tract Infection: Part 2 Staff Education, Monitoring, and Care Techniques

  • Margaret M. WillsonM. Wilde M. Gray
  • Medicine
    Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
  • 2009
This is the second of a 2-part Evidence-Based Report Card reviewing current evidence pertaining to nursing actions for prevention of CAUTI in patients with short- and long-term indwelling catheters and finding a sound basis for designing an evidence-based program to preventCAUTI.

Internal and external urinary catheters: a primer for clinical practice.

Internal and external urinary catheters are used to manage urinary incontinence and incomplete bladder emptying and evidence-based research on long-term use of these devices is lacking, clinicians should use clinical experience when caring for patients withCatheters.

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Providing evidence-based catheter management strategies may reduce the rate of catheter-associated urinary tract infection, catheter encrustation, and leakage as well as the discomfort and costs associated with these complications.