Morbidity of urodynamic testing in patients with spinal cord injury: is antibiotic prophylaxis necessary?
METHODS
Prospective, non-randomized study.


OBJECTIVE
To assess the incidence of urinary tract infection after urodynamics in patients with spinal cord injury.


METHODS
Outpatient clinic of a university hospital in Germany.


METHODS
Urinary tract infection and clinical symptoms in 109 consecutive outpatients with spinal cord injury following urodynamic evaluation were studied.


RESULTS
Data from 72 patients were evaluable. Of these, seven patients (9.7%) developed a significant urinary tract infection. Five of these were symptomatic. Pre-existing asymptomatic bacteriuria was not associated with a higher risk for post-interventional infection. The technique of the bladder management did not correlate with urinary tract infection rates.


CONCLUSIONS
In this study, symptomatic urinary tract infections after cystometry were not infrequent. Therefore, it seems that antibiotic prophylaxis cannot be omitted in patients with spinal cord injury undergoing urodynamic investigation.
Pannek
J
J
Division of Neuro-Urology, Department of Urology and Neuro-Urology, Ruhr-Universität Bochum, Marienhospital Herne, Germany.
Nehiba
M
M
D000328:Adult; D001437:Bacteriuria / Q000209:etiology; D003950:Diagnostic Techniques, Urological / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D010045:Outpatients; D011446:Prospective Studies; D011933:Reagent Kits, Diagnostic; D013119:Spinal Cord Injuries / Q000150:complications* / Q000503:physiopathology*; D014546:Urinary Catheterization; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000209:etiology*; D014554:Urination / Q000502:physiology; D014563:Urodynamics / Q000502:physiology; D014570:Urologic Diseases / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology
D011933:Reagent Kits, Diagnostic