Original Article

Spinal Cord (2007) 45, 771–774; doi:10.1038/sj.sc.3102114; published online 21 August 2007

Morbidity of urodynamic testing in patients with spinal cord injury: is antibiotic prophylaxis necessary?

J Pannek1 and M Nehiba1

1Division of Neuro-Urology, Department of Urology and Neuro-Urology, Ruhr-Universität Bochum, Marienhospital Herne, Germany

Correspondence: J Pannek, Chefarzt Neuro-Urologie, Schweizer Paraplegiker Zentrum, Guido A. Zäch Str. 1, Nottwil CH–6207, Switzerland

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Abstract

Study Design:

 

Prospective, non-randomized study.

Objectives:

 

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

Setting:

 

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.

Conclusion:

 

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.

Keywords:

urodynamics, urinary tract infection prophylaxis, spinal cord injury, lower urinary tract dysfunction, neurogenic lower urinary tract dysfunction, morbidity

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