Article
Investigating the prevalence of mucous and sediment in the urine from intermittent catheter end users with spinal cord injury through self-reported real-world data
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Published: | November 20, 2024 |
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Introduction: Spinal Cord Injury (SCI) significantly impacts bladder function, often necessitating intermittent catheterization for bladder management. However, this procedure, while critical for patient health, is associated with various potential complications such as urinary tract infection (UTI), which can result from the introduction of microorganisms into the urinary tract during catheterization [1], [2], [3], [4], [5]. UTIs remain the most frequent infection in patients with history of SCI and occur at the rate of 2.5 events per patient per year [1]. Mucous and sediment found in urine, while nonspecific symptoms, can be associated risk factors for symptomatic UTIs [6]. The primary objective of this study was to investigate the prevalence of mucous and sediment in the urine of SCI patients who managed their bladder through intermittent catheterization. The study aimed to provide insights into the complications associated with intermittent catheterization in this population.
Methods: This study was a comprehensive analysis of self-reported data gathered from 166 SCI patients over the age of 18 across the United States, Canada, the United Kingdom, and France. Participants were selected from those using intermittent catheterization and had provided informed consent for their data to be used. Study data was collected from cross sectional surveys distributed to patient support programs from the US, Canada, and UK along with distributors of continence care products from the US and France. Data was summarized using standard descriptive statistics for categorical outcomes (frequency and percentage).
Results: In a cohort of 166 SCI patients who reported history of catheterization between one month and over four years, 61% used catheters more than four years, with 95% catheterized at least 3 times/day. About 33% had two or more UTIs in the previous 12 months. Mucous in urine was noted by 28% of spinal cord injury (SCI) patients, 22% of whom saw it at least monthly. Sediment was observed by 51%, with 42% encountering it at least monthly. Among those with two or more UTIs last year, 40% saw mucous and 69% sediment; only 16% reported neither.
Conclusion: The findings indicate a notable prevalence of mucous and sediment, more so with those experiencing a UTI, among SCI patients using intermittent catheterization. This underscores the need for enhanced clinical monitoring and targeted interventions to mitigate any complications, thereby improving the overall quality of care for SCI patients.
Conflict of interest: All authors are employed by Hollister, Incorporated.
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