Suppression and Treatment of Urinary Tract Infection in Patients with an Intermittently Catheterized Neurogenic Bladder (1987)

No AccessJournal of Urology1 Aug 1987Suppression and Treatment of Urinary Tract Infection in Patients with an Intermittently Catheterized Neurogenic Bladder James L. Mohler, David L. Cowen, and Robert C. Flanigan James L. MohlerJames L. Mohler More articles by this author , David L. CowenDavid L. Cowen More articles by this author , and Robert C. FlaniganRobert C. Flanigan Current address: Department of Urology, Loyola University Medical Center, 2160 S. First Ave., Maywood, Illinois 60153. More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)43138-7AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We evaluated the optimal means of prevention and treatment of urinary tract infections in 46 patients with an intermittently catheterized neurogenic bladder. Suppression with nightly 160 mg. trimethoprim and 800 mg. sulfamethoxazole compared to placebo showed no difference in the rate of symptomatic or total urinary tract infections. Symptomatic urinary tract infections occurred at the same rate whether routine asymptomatic infections were treated or not. Three-day antibiotic treatment of urinary tract infections showed no decrease in the frequency of symptomatic or total urinary tract infections compared to 10-day therapy. The frequency of post-treatment urinary tract infection persistence, relapse and cure was identical in both groups. Suppressive antibiotics, treatment of asymptomatic urinary tract infections and full course antibiotic therapy offered no advantage over placebo, treatment of symptomatic urinary tract infection only and short course therapy in the management of urinary tract infection in patients with an intermittently catheterized neurogenic bladder. © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byHULL R, RUDY D, DONOVAN W, SVANBORG C, WIESER I, STEWART C and DAROUICHE R (2018) URINARY TRACT INFECTION PROPHYLAXIS USING ESCHERICHIA COLI 83972 IN SPINAL CORD INJURED PATIENTSJournal of Urology, VOL. 163, NO. 3, (872-877), Online publication date: 1-Mar-2000.Biering-Sørensen F, Ηøiby N, Nordenbo A, Ravnborg M, Bruun B and Rahm V (2018) Ciprofloxacin as Prophylaxis for Urinary Tract Infection: Prospective, Randomized, Cross-Over, Placebo Controlled Study in Patients with Spinal Cord LesionJournal of Urology, VOL. 151, NO. 1, (105-108), Online publication date: 1-Jan-1994.Perkash I and Giroux J (2018) Clean Intermittent Catheterization in Spinal Cord Injury Patients: A Followup StudyJournal of Urology, VOL. 149, NO. 5 Part 1, (1068-1071), Online publication date: 1-May-1993. Volume 138Issue 2August 1987Page: 336-340 Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information James L. Mohler More articles by this author David L. Cowen More articles by this author Robert C. Flanigan Current address: Department of Urology, Loyola University Medical Center, 2160 S. First Ave., Maywood, Illinois 60153. More articles by this author Expand All Advertisement PDF downloadLoading ...