Risk factors for urinary tract infection after a spinal cord injury
10.3760/cma.j.issn.0254-1424.2023.05.008
- VernacularTitle:脊髓损伤患者入院合并泌尿系感染危险因素的回顾性研究
- Author:
Yixing LU
1
;
Miaoqiao SUN
;
Xiangbo WU
;
Mulan XU
;
Chunqiu DAI
;
Guiqing CHENG
;
Wei WANG
;
Ying LIANG
;
Linna HUI
;
Hua YUAN
;
Xiaolong SUN
Author Information
1. 空军军医大学第一附属医院（西京医院）康复医学科，西安 710032
- Keywords:
Spinal cord injury;
Urinary tract infection;
Risk factors
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(5):423-428
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors for urinary tract infection (UTI) after a spinal cord injury (SCI).Methods:The medical records of 403 SCI patients were analyzed retrospectively. They were divided into UTI group and no-UTI group according to whether they had a UTI at admission. Gender, age, cause of injury, injury level of the spinal cord, voluntary anal contraction, time from injury to admission, American Spinal Injury Association (ASIA) grade, axillary temperature at admission, complications at admission (diabetes, hypertension, fracture of the pelvis, pressure sores or anemia), white blood cell count and urinary bacteria were compared between the two groups. Binary logistic regression was used to highlight the risk factors for a UTI after an SCI.Results:Of the 354 patients included in the final analysis, 62 (17.51%) had a UTI at admission. The regression showed that UTI after an SCI was closely related to an inability to voluntarily contract the anus, anemia, elevated white blood cell count and a high level of bacteria in the urine.Conclusions:Inability to contract the anus, fever, anemia and an elevated white blood cell count are independent indicators of a UTI after an SCI. A temperature ≥37.3°C is a simple indicator of a concentration of bacteria in the urine ≥1266/μL.
