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Urinary tract infection after stroke: A narrative review
Colin Smith1, Eyad Almallouhi2, Wuwei Feng3
1College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Journal of the Neurological Sciences
|July 10, 2019
Summary
Urinary tract infections (UTIs) in stroke patients prolong hospital stays and increase costs but do not independently affect long-term outcomes. Further research is needed to clarify these associations.
Area of Science:
- Neurology
- Infectious Diseases
- Healthcare Management
Background:
- Urinary tract infection (UTI) is a common complication in hospitalized acute stroke patients.
- Post-stroke infections (PSIs) impact stroke recovery and clinical outcomes, but UTI-specific factors remain unclear.
Purpose of the Study:
- To synthesize existing literature on urinary tract infections (UTIs) specifically in stroke patients.
- To provide a comprehensive overview of UTI in the context of stroke.
Main Methods:
- A narrative literature review was conducted.
- Searched PubMed for "stroke" and "urinary tract infection" in English-language publications.
- Synthesized and summarized relevant findings on UTI in stroke patients.
Main Results:
- Post-stroke UTI is linked to longer hospital length of stay (LOS), discharge to care homes, and higher medical costs.
- These associations may stem from increased stroke severity and the need for urinary catheterization.
- UTI was not independently associated with long-term morbidities or mortality.
Conclusions:
- The review covered UTI classifications, epidemiology, pathogenesis, clinical features, and future research directions.
- Heterogeneity in study reports presents a significant limitation in understanding UTI in stroke patients.
- Further research is necessary to address the complexities of UTI in this population.
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