title: Urinary tract infection analysis in a spinal cord injured population undergoing rehabilitation--how to treat?
abstract: METHODS
  Cross sectional study, including 38 outpatients. Standardized questionnaire was used and urine cultures were performed.
  
  
  OBJECTIVE
  To study spinal cord-injured (SCI) patients bladder management, clinical aspects that symptomatic urinary tract infection (SUTI) may present and asymptomatic bacteriuria (AB) incidence with its antimicrobial susceptibility profile.
  
  
  METHODS
  Spinal cord injury outpatient rehabilitation clinic.
  
  
  RESULTS
  Clean intermittent catheterization is used by 71% of the patients. SUTI may have atypical clinical presentation (shivers, spasticity increase, headaches). In total, 65.7% (N=25) of the patients presented AB. Among these, the microorganisms isolated were resistant mainly to Ampicillin, Sulfamethoxazole-Trimethoprim and Norfloxacin, whose resistance rates were, respectively 73.3%, 60% and 33.3%.
  
  
  CONCLUSIONS
  Special attention should be given to possible atypical symptoms for SUTI. Although a small amount of urine samples was analyzed, resistance rates against Ampicillin, Sulfamethoxazole-Trimethoprim, Ciprofloxacin and Nitrofurantoin appear to be higher among SCI patients compared to the general population, thus demonstrating the need for continuous monitoring of microorganisms susceptibility, in order to avoid therapeutic failure when dealing with this specific population.
authors.affiliation: Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil. cin450@gmail.com
authors.forename: C F
authors.initials: CF
authors.lastname: Martins
authors.forename: E
authors.initials: E
authors.lastname: Bronzatto
authors.forename: J M
authors.initials: JM
authors.lastname: Neto
authors.forename: G S
authors.initials: GS
authors.lastname: Magalhães
authors.forename: C A L
authors.initials: CA
authors.lastname: D'anconna
authors.forename: A
authors.initials: A
authors.lastname: Cliquet
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D011159:Population Surveillance / Q000379:methods*; D013119:Spinal Cord Injuries / Q000175:diagnosis* / Q000453:epidemiology / Q000534:rehabilitation*; D016896:Treatment Outcome; D016482:Urinalysis / Q000379:methods*; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000534:rehabilitation*