Article

Cross sectional study, including 38 outpatients. Standardized
questionnaire was used and urine cultures were performed. OBJECTIVES: 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.
SETTING: 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%.
CONCLUSION: 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.

Langue : ANGLAIS