지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 30 - 35 (6page)
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초록· 키워드
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Purpose: To analyze the results of urine cultures and antimicrobial sensitivity tests according to the voiding methods in patients with spinal cord injury (SCI) over a 15-year period.Materials and Methods: A total of 1,579 urine culture samples, obtained from January 2000 to December 2014, for 73 SCI patients were analyzed according to the voiding method. We analyzed the following: positive urine culture rate, colony counts, isolated number of organism, major organisms, and antimicrobial sensitivity tests. The voiding methods were categorized into four methods: clean intermittent catheterization (CIC), suprapubic catheterization (SPC), urethral Foley catheter, and spontaneous voiding (SV).Results: Among the 1,579 urine samples, 1,250 (79.2%) were positive. The CIC group showed the lowest rate of bacteriuria (p＜0.001), colony counts (p＜0.001), and polymicrobial infection (p＜0.001). Causative organisms were mostly gram-negative bacteria (86.7%). Pseudomonas aeruginosa (22.7%) was most common pathogen followed by Escherichia coli (22.3%), Klebsiella species (9.5%), Providencia species (4.4%), and Serratia marcescens (4.2%). Major pathogens and antimicrobial sensitivity tests were different according to the voiding method.Conclusions: CIC is the best voiding method to reduce urinary tract infection (UTI) in SCI patients. To treat UTI in in SCI patients, empirical antibiotics can be chosen according to the voiding method based on the reference of our study prior to the availability of antimicrobial sensitivity results.
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참고문헌 (25)
참고문헌 신청
So JG / 1997 / Urologic complications and management in 337 spinal cord injured patients / Korean J Urol 38:1075~1080
de Groat WC / 1995 / Mechanisms underlying the recovery of lower urinary tract function following spinal cord injury / Paraplegia 33:493~505
Biering-Sorensen F / 2001 / Urinary tract infections in patients with spinal cord lesions : treatment and prevention / Drugs 61:1275~1287
Dewire DM / 1992 / A comparison of the urological complications associated with long-term management of quadriplegics with and without chronic indwelling urinary catheters / J Urol 147:1069~1071
Hinkel A / 2004 / Increasing resistance against antibiotics in bacteria isolated from the lower urinary tract of an outpatient population of spinal cord injury patients / Urol Int 73:143~148
de Groat WC / 1995 / Mechanisms underlying the recovery of lower urinary tract function following spinal cord injury / Paraplegia 33:493~505
Biering-Sorensen F / 2001 / Urinary tract infections in patients with spinal cord lesions : treatment and prevention / Drugs 61:1275~1287
Dewire DM / 1992 / A comparison of the urological complications associated with long-term management of quadriplegics with and without chronic indwelling urinary catheters / J Urol 147:1069~1071
Hinkel A / 2004 / Increasing resistance against antibiotics in bacteria isolated from the lower urinary tract of an outpatient population of spinal cord injury patients / Urol Int 73:143~148
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