An update on purple urine bag syndrome

Yoshiro Hadano,1 Taro Shimizu,2 Shimon Takada,3 Toshiya Inoue,4 Sumire Sorano51Department of General Internal Medicine and Infectious Diseases, Rakuwakai Otowa Hospital, Yamashina-ku, Kyoto, Japan; 2Rollins School of Public Health, Emory University, Atlanta, GA, USA; 3Department of General Internal...

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Main Authors: Hadano Y, Shimizu T, Takada S, Inoue T, Sorano S
Format: Article
Language:English
Published: Dove Medical Press 2012-08-01
Series:International Journal of General Medicine
Online Access:http://www.dovepress.com/an-update-on-purple-urine-bag-syndrome-a10779
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author Hadano Y
Shimizu T
Takada S
Inoue T
Sorano S
author_facet Hadano Y
Shimizu T
Takada S
Inoue T
Sorano S
author_sort Hadano Y
collection DOAJ
description Yoshiro Hadano,1 Taro Shimizu,2 Shimon Takada,3 Toshiya Inoue,4 Sumire Sorano51Department of General Internal Medicine and Infectious Diseases, Rakuwakai Otowa Hospital, Yamashina-ku, Kyoto, Japan; 2Rollins School of Public Health, Emory University, Atlanta, GA, USA; 3Department of General Internal Medicine, Osaka City General Hospital, Miyakojima-ku, Osaka, Japan; 4Department of Emergency Medicine, Urasoe General Hospital, Urasoe-city, Okinawa, Japan; 5Kobe University School of Medicine, Kusunokicho, Chuoku, Kobe, JapanAbstract: Purple urine bag syndrome is characterized by the urinary drainage bag turning purple in patients on prolonged urinary catheterization, especially those in the bedridden state. It is associated with bacterial urinary tract infections caused by indigo-producing and indirubin-producing bacteria, usually affects women, and is associated with alkaline urine, constipation, and a high bacterial load in the urine. Almost all patients with purple urine bag syndrome are catheterized due to significant disability, and the urinary pH is 7.0 or more. In general, intensive treatment with antibiotics is not recommended. Purple urine bag syndrome per se almost always appears to be asymptomatic and harmless. However, caution is needed, because some cases have been reported to show progression to severe disease states, so further research into the morbidity and mortality of this infection is warranted.Keywords: purple urine, urinary catheterization, geriatrics, urinary tract infection
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spelling doaj.art-47a12673a2374cde96bf9efd08f576272022-12-21T22:53:42ZengDove Medical PressInternational Journal of General Medicine1178-70742012-08-012012default707710An update on purple urine bag syndromeHadano YShimizu TTakada SInoue TSorano SYoshiro Hadano,1 Taro Shimizu,2 Shimon Takada,3 Toshiya Inoue,4 Sumire Sorano51Department of General Internal Medicine and Infectious Diseases, Rakuwakai Otowa Hospital, Yamashina-ku, Kyoto, Japan; 2Rollins School of Public Health, Emory University, Atlanta, GA, USA; 3Department of General Internal Medicine, Osaka City General Hospital, Miyakojima-ku, Osaka, Japan; 4Department of Emergency Medicine, Urasoe General Hospital, Urasoe-city, Okinawa, Japan; 5Kobe University School of Medicine, Kusunokicho, Chuoku, Kobe, JapanAbstract: Purple urine bag syndrome is characterized by the urinary drainage bag turning purple in patients on prolonged urinary catheterization, especially those in the bedridden state. It is associated with bacterial urinary tract infections caused by indigo-producing and indirubin-producing bacteria, usually affects women, and is associated with alkaline urine, constipation, and a high bacterial load in the urine. Almost all patients with purple urine bag syndrome are catheterized due to significant disability, and the urinary pH is 7.0 or more. In general, intensive treatment with antibiotics is not recommended. Purple urine bag syndrome per se almost always appears to be asymptomatic and harmless. However, caution is needed, because some cases have been reported to show progression to severe disease states, so further research into the morbidity and mortality of this infection is warranted.Keywords: purple urine, urinary catheterization, geriatrics, urinary tract infectionhttp://www.dovepress.com/an-update-on-purple-urine-bag-syndrome-a10779
spellingShingle Hadano Y
Shimizu T
Takada S
Inoue T
Sorano S
An update on purple urine bag syndrome
International Journal of General Medicine
title An update on purple urine bag syndrome
title_full An update on purple urine bag syndrome
title_fullStr An update on purple urine bag syndrome
title_full_unstemmed An update on purple urine bag syndrome
title_short An update on purple urine bag syndrome
title_sort update on purple urine bag syndrome
url http://www.dovepress.com/an-update-on-purple-urine-bag-syndrome-a10779
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