Urinary tract infection (UTI) in patients with neurogenic bladder causes significant morbidity and mortality.
UTI in neurogenic bladder causes atypical symptomatology. Urine tests are pivotal in confirming or excluding UTI, and in guiding appropriate antibiotic treatment.
1. Symptomatic UTI warrants appropriate antibiotic treatment with reference to culture results and local antibiotic resistance patterns. Asymptomatic bacteriuria should not be treated, and antibiotic prophylaxis is generally not recommended.2. Adequate bladder drainage is essential in reducing the occurrence of urinary tract infections.3. Recurrent UTI in neurogenic bladder may necessitate the treatment of neurogenic detrusor overactivity and the restoration of low bladder pressure during bladder storage and voiding by drugs or surgery.
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy. 2021 Oct 23 [Epub ahead of print]
Bill Tak Hing Wong, Stanley Chi Fai Kan, Alex Hak Keung Lo, Lap Yin Ho, Raymond Wai Man Kan, Christopher Lai
Pedder Clinic, Central, Hong Kong., Division of Urology, Department of Surgery, Queen Elizabeth Hospital, Kowloon, Hong Kong., Department of Urology, St. Paul's Hospital, Hong Kong., Division of Urology, Department of Surgery, Queen Elizabeth Hospital, Kowloon, Hong Kong. Electronic address: ., Department of Microbiology, Chinese University of Hong Kong, Hong Kong.