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A review of educational programs to reduce UTIs among individuals with SCI
Rachel Mays1, Amanda McIntyre, Swati Mehta
1Lawson Health Research Institute, St. Joseph's Parkwood Hospital, London, ON, Canada.
Summary
Educational programs show limited effectiveness in reducing urinary tract infections (UTIs) for individuals with spinal cord injuries (SCI). Further research is needed to optimize urinary health strategies for this population.
Area of Science:
- Urology
- Rehabilitation Medicine
- Infectious Disease Prevention
Background:
- Urinary tract infections (UTIs) are a common complication for individuals with spinal cord injuries (SCI).
- Effective strategies are needed to reduce UTI incidence and improve urinary health in the SCI population.
Purpose of the Study:
- To evaluate the effectiveness of educational programs in reducing UTIs among individuals with SCI.
- To synthesize existing evidence on the impact of education on UTI prevention in SCI.
Main Methods:
- A comprehensive literature search was performed up to July 2012 across multiple databases.
- Methodological quality was assessed using the PEDro and Downs and Black tools.
- Levels of evidence were assigned using a modified Sackett scale.
Main Results:
- Four articles were included in the review.
- One level 2 prospective control trial reported a statistically significant reduction in UTIs (p=0.02) following an education program.
- Other studies, including a level 2 RCT, a pre-post study, and a case-control study, yielded mixed or inconclusive results regarding UTI reduction, with some lacking statistical analysis.
Conclusions:
- There is limited positive evidence supporting the effectiveness of educational programs in reducing UTI incidence in individuals with SCI.
- Education programs that provide information and enhance skills may play a role in optimizing urinary health for individuals with SCI.
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