Bacteriuria in spinal cord injured patients with neurogenic bladder dysfunction.
The occurrence of bacteriuria in spinal cord injured patients with neurogenic bladder dysfunction who used clean intermittent catheterisation to empty their bladders was studied in order to examine cut-off concentration breakpoints for significant bacteriuria in this group of patients using procedures of the European Urinanalysis Guideline. 344 samples were cultured, yielding 285 isolates. Coagulase-negative staphylococci (27%), Enterococci (25%), Klebsiella spp (19%), and Escherichia coli (12%) were the most common findings. Bacteria grew at concentrations of 10(5)-10(8) cfu/L, but only a few at 10(4) cfu/L. It is concluded that low bacterial concentrations in the urine (10(5) cfu/L) of patients with neurogenic bladder dysfunction who are on intermittent catheterisation might be as significant for bladder contamination with bacteria as a high bacterial concentration and can possibly be responsible for bladder infections.
Svensson
Erik
E
Department of Molecular and Clinical Medicine, Division of Clinical Microbiology, Linköpings universitet, Linköping, Sweden.
Ertzgaard
Per
P
Forsum
Urban
U
D001437:Bacteriuria / Q000382:microbiology*; D002404:Catheterization; D015169:Colony Count, Microbial; D005260:Female; D006095:Gram-Positive Cocci / Q000302:isolation & purification; D006801:Humans; D008297:Male; D013119:Spinal Cord Injuries / Q000150:complications*; D001750:Urinary Bladder, Neurogenic / Q000150:complications* / Q000209:etiology; D014556:Urine / Q000382:microbiology