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Related Experiment Videos

Clean intermittent catheterisation for the neuropathic bladder

A Yadav1, S Vaidyanathan, D Panigrahi

  • 1Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Paraplegia
|June 1, 1993
PubMed
Summary

Clean intermittent catheterization (CIC) is effective for bladder drainage in paraplegics. This study found low symptomatic urinary infection rates in both acute and long-term spinal cord injury patients using CIC without antibiotics.

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Area of Science:

  • Urology
  • Nephrology
  • Rehabilitation Medicine

Background:

  • Clean intermittent catheterization (CIC) is a standard bladder management technique for individuals with neurogenic bladder dysfunction.
  • Paraplegia, often resulting from spinal cord injury (SCI), necessitates effective bladder drainage to prevent complications.

Purpose of the Study:

  • To evaluate the incidence of symptomatic urinary tract infections (UTIs) in patients with spinal cord injury (SCI) managed with CIC.
  • To compare UTI rates in acute SCI patients initiated on CIC from day one versus those on long-term CIC.

Main Methods:

  • Retrospective analysis of 27 acute SCI patients managed with CIC from diagnosis.
  • Analysis of 21 long-term CIC patients (1-12 years) over a 6-month follow-up period.
  • Monitoring for symptomatic UTIs and urine culture results; no prophylactic antibiotics were used.

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Main Results:

  • In acute SCI patients (n=27), 5 (18.5%) developed symptomatic UTIs within 10 days to 3 months.
  • In long-term CIC patients (n=21), the rate of symptomatic UTIs was 0.07 episodes per patient per month.
  • Overall, 26% of urine cultures were positive, with varying bacterial types and antibiotic sensitivities between the acute and long-term groups.

Conclusions:

  • Clean intermittent catheterization (CIC) demonstrates a low incidence of symptomatic urinary infections in both acute and long-term spinal cord injury (SCI) management.
  • CIC can be safely employed for bladder drainage in SCI patients without routine antibiotic prophylaxis.
  • Further research into specific bacterial profiles and antibiotic sensitivities in different SCI management phases is warranted.