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Early clear intermittent catheterization advisable with neurogenic bladder

Early clear intermittent catheterization is advisable to cut back the incidence of recurrent febrile urinary tract infections (FUTIs) in kids with neurogenic bladder (NB), in line with a research printed within the September problem of Neurourology & Urodynamics.

Guanglun Zhou, from Shenzhen Youngsters’s Hospital in Guangdong, China, and colleagues sought to establish the medical and urodynamic danger elements related to the event of recurrent FUTIs in kids with NB. The evaluation included knowledge for 321 kids with NB receiving clear intermittent catheterization (CIC) prospectively adopted for 2 years.

The researchers discovered that occasional FUTIs occurred in 223 sufferers, and 98 sufferers skilled recurrent FUTIs. Late-initiation and low-frequency CIC, vesicoureteral reflux (VUR), small bladder capability and low compliance, and detrusor overactivity had been related to an elevated danger for recurrent FUTIs. Threat for recurrent FUTIs was greater for kids with high-grade VUR (grades IV to V) versus these with low-grade VUR (grades I to III; odds ratio, 26.95 versus 4.78; P “We suggest early CIC interventions in sufferers with NB,” the authors write.

Extra info:
Guanglun Zhou et al, Threat elements related to recurrent febrile urinary tract an infection in kids with neurogenic bladder who carry out clear intermittent catheterization, Neurourology and Urodynamics (2023). DOI: 10.1002/nau.25245

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Early clear intermittent catheterization advisable with neurogenic bladder (2023, September 7)
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