Difference of Organism and Their Antibiotics Sensitivity from Urine Culture in Symptomatic Urinary Tract Infection of Spinal Cord Injury Patients.
- Author:
Ji Cheol SHIN
1
;
Jee Hyun YOO
;
Ji Woong PARK
;
Sena PARK
;
Seong Joon AHN
;
Chang il PARK
Author Information
1. Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea. anesyoo@naver.com
- Publication Type:Original Article
- Keywords:
Urinary tract infection;
Neurogenic bladder;
Spinal cord injury;
Antibiotics
- MeSH:
Anti-Bacterial Agents;
Bacteriuria;
Follow-Up Studies;
Humans;
Spinal Cord;
Spinal Cord Injuries;
Urinary Bladder, Neurogenic;
Urinary Tract;
Urinary Tract Infections
- From:Journal of the Korean Academy of Rehabilitation Medicine
2008;32(1):38-44
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To assess the necessity of extra rounds of urine culture when symptom of urinary tract infection (UTI) is developed from asymptomatic bacteriuria in spinal cord injury patients. METHOD: A total of 226 patients who took a urine culture at least twice during their stay and did not show symptoms of UTI at the admission were chosen. We then divided them into two groups: the one with patients who showed symptoms of UTI, and the other with ones who did not. Follow-up urine culture was performed when patients had symptoms of UTI or after one month from admission. RESULTS: 1) Of the 226 patients, 60 patients showed symptoms of UTI, while 166 patients did not. 2) From the UTI group, there were 38 (63.3%) patients whose organism from their urine culture changed. From the non-UTI group, 79 (47.6%) patients saw their organism from their urine culture changed. 3) From the UTI group, there were 31 (56.4%) patients whose organism was more resistant to the antibiotics. From the non-UTI group, there were 80 (68.4%) patients whose organism was more resistant to the antibiotics. CONCLUSION: If UTI occurs in spinal cord injury patients, new organism might be detected in urine culture. Therefore, we should choose the proper antibiotics based on results of follow-up urine culture performed when the patients had symptoms of UTI.
