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Urinary tract infection in the neurogenic bladder
Abstract: There is a high incidence of urinary tract infection (UTI) in patients with neurogenic lower
urinary tract function. This results in significant morbidity and health care utilization. Multiple wellestablished
risk factors unique to a neurogenic bladder (NB) exist while others require ongoing investigation.
It is important for care providers to have a good understanding of the different structural, physiological,
immunological and catheter-related risk factors so that they may be modified when possible. Diagnosis
remains complicated. Appropriate specimen collection is of paramount importance and a UTI cannot be
diagnosed based on urinalysis or clinical presentation alone. A culture result with a bacterial concentration
of ≥103 CFU/mL in combination with symptoms represents an acceptable definition for UTI diagnosis in
NB patients. Cystoscopy, ultrasound and urodynamics should be utilized for the evaluation of recurrent
infections in NB patients.
Resource details
| Contributed by: | SCI Education Programme |
| Authored by: |
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| Authored on: | 2016 |
| Licence: | Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International More information on licences |
| First contributed: | 16 April 2025 |
| Audience access level: | Full user |
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