Incidence of Urinary Tract Infection After Urodynamic Investigation

Balgrist University Hospital317 enrolled

Overview

The purpose of this study is to evaluate the incidence of urinary tract infection after urodynamic investigation and to identify the involved germs.

Patients with neurogenic bladder dysfunction after spinal cord injury need lifelong urologic control examinations with CMG (urodynamic examination). The manipulation may cause urinary tract infections which have to be treated. Patients often noticed an infection after a CMG examination. Aim of this study is the determination of the infection rate and germs. Also should be noticed the pre-interventional infections and differences between the causing germs. Simultaneously the investigators test the reliability of the quicktest for urinary infection. Additionally the investigators will examine the Quality of Life in patients with neurogenic bladder dysfunction.

Study Type

INTERVENTIONAL

Allocation

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

317

Conditions

Neurogenic Bladder

Interventions

urodynamic examinationPROCEDURE

Standard urodynamic investigation according to the ICS standard, Good urodynamic practice.Following insertion of 8 F transurethral catheter, retrograde filling of the bladder (20 mL/min) with body warm saline. Current recording of pabd. , pves and pdet., subsequently pressure flow study. Additionally imaging with fluoroscopy to detect possible vesico ureteral renal reflux.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with neurogenic lower urinary tract dysfunction with scheduled urodynamic investigation * No antibiotic treatment * Written informed consent Exclusion Criteria: * Pregnancy and breastfeeding * Current antibiotic therapy

Locations (1)

Spinal Cord Injury Center & Research, University of Zürich, Balgrist University Hospital

Zurich, Canton of Zurich, Switzerland

Outcomes

Primary Outcomes

Incidence of urinary tract infection following urodynamic investigation

every patient receives the urine examination before the urodynamic investigation and hospitalized patients additionally 3 days later and ambulatory patients in case of urinary tract infection

Time frame: 3 days after urodynamic investigation

Secondary Outcomes

Name and number of identified bacterial species

Time frame: 30 minutes before examination

Number of hospitalized and number of ambulatory patients with infection of the lower urinary tract

Time frame: 3 days after examination

Incidence of urinary tract infection before urodynamic investigation

every patient receives the urine examination before the urodynamic investigation to detect a potentially urinary tract infection

Time frame: 30 minutes before urodynamic investigation

Data from ClinicalTrials.gov

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