Urinary Tract Infection and Neurogenic Bladder

Maxim J. McKibben, Patrick Seed, Sherry S. Ross, Kristy M. Borawski*

*Corresponding author for this work

Research output: Contribution to journalReview article

23 Scopus citations

Abstract

Urinary tract infections (UTIs) are frequent, recurrent, and lifelong for patients with neurogenic bladder and present challenges in diagnosis and treatment. Patients often present without classic symptoms of UTI but with abdominal or back pain, increased spasticity, and urinary incontinence. Failure to recognize and treat infections can quickly lead to life-threatening autonomic dysreflexia or sepsis, whereas overtreatment contributes to antibiotic resistance, thus limiting future treatment options. Multiple prevention methods are used but evidence-based practices are few. Prevention and treatment of symptomatic UTI requires a multimodal approach that focuses on bladder management as well as accurate diagnosis and appropriate antibiotic treatment.

Original languageEnglish (US)
Pages (from-to)527-536
Number of pages10
JournalUrologic Clinics of North America
Volume42
Issue number4
DOIs
StatePublished - Nov 1 2015

Keywords

  • Antibiotic prophylaxis
  • Antimicrobial resistance
  • Bacterial interference
  • Neurogenic bladder
  • Probiotics
  • Spina bifida
  • Spinal cord injury
  • Urinary tract infection

ASJC Scopus subject areas

  • Urology

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