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Morbidity of urodynamic testing in patients with spinal cord injury: is antibiotic prophylaxis necessary?
1Division of Neuro-Urology, Department of Urology and Neuro-Urology, Ruhr-Universität Bochum, Marienhospital Herne, Germany.
Study Design:
Prospective, non-randomized study.
Objectives:
To assess the incidence of urinary tract infection after urodynamics in patients with spinal cord injury.
Setting:
Outpatient clinic of a university hospital in Germany.
Methods:
Urinary tract infection and clinical symptoms in 109 consecutive outpatients with spinal cord injury following urodynamic evaluation were studied.
Results:
Data from 72 patients were evaluable. Of these, seven patients (9.7%) developed a significant urinary tract infection. Five of these were symptomatic. Pre-existing asymptomatic bacteriuria was not associated with a higher risk for post-interventional infection. The technique of the bladder management did not correlate with urinary tract infection rates.
Conclusion:
In this study, symptomatic urinary tract infections after cystometry were not infrequent. Therefore, it seems that antibiotic prophylaxis cannot be omitted in patients with spinal cord injury undergoing urodynamic investigation.
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