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

19 Citations (Scopus)

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

Fingerprint

Neurogenic Urinary Bladder
Urinary Tract Infections
Autonomic Dysreflexia
Evidence-Based Practice
Urinary Incontinence
Therapeutics
Back Pain
Microbial Drug Resistance
Abdominal Pain
Sepsis
Urinary Bladder
Anti-Bacterial Agents
Infection

Keywords

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

ASJC Scopus subject areas

  • Urology

Cite this

McKibben, Maxim J. ; Seed, Patrick ; Ross, Sherry S. ; Borawski, Kristy M. / Urinary Tract Infection and Neurogenic Bladder. In: Urologic Clinics of North America. 2015 ; Vol. 42, No. 4. pp. 527-536.
@article{ab92f4f96af542d7932f777c0219af97,
title = "Urinary Tract Infection and Neurogenic Bladder",
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.",
keywords = "Antibiotic prophylaxis, Antimicrobial resistance, Bacterial interference, Neurogenic bladder, Probiotics, Spina bifida, Spinal cord injury, Urinary tract infection",
author = "McKibben, {Maxim J.} and Patrick Seed and Ross, {Sherry S.} and Borawski, {Kristy M.}",
year = "2015",
month = "11",
day = "1",
doi = "10.1016/j.ucl.2015.05.006",
language = "English (US)",
volume = "42",
pages = "527--536",
journal = "Urologic Clinics of North America",
issn = "0094-0143",
publisher = "W.B. Saunders Ltd",
number = "4",

}

Urinary Tract Infection and Neurogenic Bladder. / McKibben, Maxim J.; Seed, Patrick; Ross, Sherry S.; Borawski, Kristy M.

In: Urologic Clinics of North America, Vol. 42, No. 4, 01.11.2015, p. 527-536.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Urinary Tract Infection and Neurogenic Bladder

AU - McKibben, Maxim J.

AU - Seed, Patrick

AU - Ross, Sherry S.

AU - Borawski, Kristy M.

PY - 2015/11/1

Y1 - 2015/11/1

N2 - 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.

AB - 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.

KW - Antibiotic prophylaxis

KW - Antimicrobial resistance

KW - Bacterial interference

KW - Neurogenic bladder

KW - Probiotics

KW - Spina bifida

KW - Spinal cord injury

KW - Urinary tract infection

UR - http://www.scopus.com/inward/record.url?scp=84945444787&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84945444787&partnerID=8YFLogxK

U2 - 10.1016/j.ucl.2015.05.006

DO - 10.1016/j.ucl.2015.05.006

M3 - Review article

C2 - 26475949

AN - SCOPUS:84945444787

VL - 42

SP - 527

EP - 536

JO - Urologic Clinics of North America

JF - Urologic Clinics of North America

SN - 0094-0143

IS - 4

ER -