Intermittent catheterisation versus percutaneous suprapubic cystostomy in the early management of traumatic spinal cord lesions.
Spinal injury patients initially treated by intermittent catheterisation (IUC) and those who received a fine-bore suprapubic catheter (SPC) have been reviewed. The results show that fine-bore suprapubic catheterisation seems to be superior to intermittent catheterisation because the rate of urinary tract infections is significantly lower in the SPC-group (50%) than in the IUC-patients (71.9%), and the first infecting organisms in the SPC-group differ from those in the IUC-group and are much more easily treated by antibiotic therapy.
Noll
F
F
Urologische Abteilung der Med. Fakultät, Universität Witten-Herdecke im Verbandskrankenhauses Schwelm, Germany, FDR.
Russe
O
O
Kling
E
E
Bötel
U
U
Schreiter
F
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D003559:Cystostomy / Q000009:adverse effects / Q000379:methods*; D004927:Escherichia coli Infections / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000209:etiology / Q000628:therapy*; D013203:Staphylococcal Infections / Q000209:etiology; D013997:Time Factors; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000628:therapy; D014546:Urinary Catheterization / Q000009:adverse effects / Q000379:methods*