Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community

Abstract We conducted a cross-sectional study using an online questionnaire to investigate the current status of urinary tract infections (UTIs) and the use of clean intermittent catheterization (CIC) in Chinese community-based SCI patients and to explore the risk factors for UTIs in patients using...

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Main Authors: Jiawei Liu, Can Luo, Weichu Xiao, Tao Xu
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-44697-0
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author Jiawei Liu
Can Luo
Weichu Xiao
Tao Xu
author_facet Jiawei Liu
Can Luo
Weichu Xiao
Tao Xu
author_sort Jiawei Liu
collection DOAJ
description Abstract We conducted a cross-sectional study using an online questionnaire to investigate the current status of urinary tract infections (UTIs) and the use of clean intermittent catheterization (CIC) in Chinese community-based SCI patients and to explore the risk factors for UTIs in patients using CIC. Our findings suggest that the prevalence of UTIS is higher in Chinese community-based SCI patients compared with patients in medically developed countries. In addition, we found that CIC had the lower incidence of UTIs than urinary indwelling catheter (UIC) and suprapubic catheter (SPC), and that SCI patients with CIC had low rates of use and poor compliance. Further analysis indicated that most of the risk factors for UTIs in CIC patients were associated with irregular use of CIC. Therefore, we call for not only the need to provide stronger caregiver support and financial assistance to improve CIC adherence in Chinese community SCI patients, but also the establishment of a database of Chinese SCI patients in order to enhance the management of bladder emptying methods and further standardize the CIC operation in such patients, thus reducing the risk of UTIs in Chinese community SCI patients.
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spelling doaj.art-a395dc469e86444d9140680e2d6f29f92023-11-19T12:54:06ZengNature PortfolioScientific Reports2045-23222023-10-0113111010.1038/s41598-023-44697-0Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese communityJiawei Liu0Can Luo1Weichu Xiao2Tao Xu3Department of Rehabilitation, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & TechnologyDepartment of Rehabilitation, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & TechnologyDepartment of Rehabilitation, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & TechnologyDepartment of Rehabilitation, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & TechnologyAbstract We conducted a cross-sectional study using an online questionnaire to investigate the current status of urinary tract infections (UTIs) and the use of clean intermittent catheterization (CIC) in Chinese community-based SCI patients and to explore the risk factors for UTIs in patients using CIC. Our findings suggest that the prevalence of UTIS is higher in Chinese community-based SCI patients compared with patients in medically developed countries. In addition, we found that CIC had the lower incidence of UTIs than urinary indwelling catheter (UIC) and suprapubic catheter (SPC), and that SCI patients with CIC had low rates of use and poor compliance. Further analysis indicated that most of the risk factors for UTIs in CIC patients were associated with irregular use of CIC. Therefore, we call for not only the need to provide stronger caregiver support and financial assistance to improve CIC adherence in Chinese community SCI patients, but also the establishment of a database of Chinese SCI patients in order to enhance the management of bladder emptying methods and further standardize the CIC operation in such patients, thus reducing the risk of UTIs in Chinese community SCI patients.https://doi.org/10.1038/s41598-023-44697-0
spellingShingle Jiawei Liu
Can Luo
Weichu Xiao
Tao Xu
Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community
Scientific Reports
title Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community
title_full Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community
title_fullStr Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community
title_full_unstemmed Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community
title_short Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community
title_sort urinary tract infections and intermittent catheterization among patients with spinal cord injury in chinese community
url https://doi.org/10.1038/s41598-023-44697-0
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AT weichuxiao urinarytractinfectionsandintermittentcatheterizationamongpatientswithspinalcordinjuryinchinesecommunity
AT taoxu urinarytractinfectionsandintermittentcatheterizationamongpatientswithspinalcordinjuryinchinesecommunity