Risk factors for urinary tract infections associated with lower quality of life among intermittent catheter users

Author:

Averbeck Marcio Augusto1,Kennelly Michael2,Thiruchelvam Nikesh3,Konstantinidis Charalampos4,Chartier-Kastler Emmanuel5,Krassioukov Andrei6,Landauro Malene7,Jacobsen Lotte8,Vaabengaard Rikke9,Islamoska Sabrina10

Affiliation:

1. Professor and Head of Neuro-Urology, Moinhos de Vento Hospital, Porto Alegre, Brazil

2. Professor and Director, Atrium Health, Carolinas Medical Center, Charlotte, NC, USA

3. Consultant Urologist, Cambridge University Hospitals NHS Trust, UK

4. Consultant and Head of Urology and Neuro-Urology Unit, National Rehabilitation Center, Athens, Greece

5. Professor and Head of Urology, Sorbonne Université, Academic hospital Pitié Salpétrière, Paris, France

6. Principal Investigator, Professor and Associate Director, International Collaboration on Repair Discoveries (ICORD), Faculty of Medicine, The University of British Columbia; GF Strong Rehabilitation Centre, Vancouver Coastal Health Authority; Division of Physical Medicine and Rehabilitation, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada

7. Senior Medical Writer, Clinical Strategies, Coloplast A/S, Humlebæk, Denmark

8. Principal Biostatistician, Clinical Strategies, Coloplast A/S, Humlebæk, Denmark

9. Lead Medical Specialist, Medical Affairs, Coloplast A/S, Humlebæk, Denmark

10. Senior Evidence Manager, Medical Affairs, Coloplast A/S, Humlebæk, Denmark

Abstract

Background: Evidence shows that intermittent catheterisation (IC) for bladder emptying is linked to urinary tract infections (UTIs) and poor quality of life (QoL). Aim: To investigate the association between UTI risk factors and QoL and patient-reported UTIs respectively. Methods: A survey was distributed to IC users from 13 countries. Findings: Among 3464 respondents, a significantly poorer QoL was observed when experiencing blood in the urine, residual urine, bowel dysfunction, recurrent UTIs, being female, and applying withdrawal techniques. A lower UTI risk was found when blood was not apparent in urine (RR: 0.63; 95% CI: 0.55–0.71), the bladder was perceived empty (RR: 0.83; 95% CI: 0.72-0.96), not having bowel dysfunction (RR: 0.86; 95% CI: 0.76–0.98), and being male (RR: 0.70; 95% CI: 0.62–0.79). Conclusion: This study underlines the importance of risk factors and their link to QoL and UTIs, highlighting the need for addressing symptoms before UTIs become problematic.

Publisher

Mark Allen Group

Subject

General Nursing

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