Speakers:

Michael Kennelly, Department of Urology, Carolinas Medical Center, Charlotte, NC, USA
Andrei Krassioukov, Division of Physical Medicine and Rehabilitation, Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada

Abstract title: Dr. Michael Kennelly and Dr. Andrei Krassioukov discuss the UTI risk factors model in relation to persons with spinal cord injury

Abstract:

From daily clinical experience, clinical studies and surveys, it is evident that urinary tract infections (UTIs) are the commonest complication to intermittent catheterisation (IC) in the neurogenic patient group, and constitute a major reason for concern in patients, their clinicians and carers.
A key factor complicating the study of UTIs is the lack of consensus regarding its definition. Different definitions of UTI for patients relying on IC not only consider laboratory parameters, but also signs and symptoms – and symptoms may be difficult to recognise with impaired sensations in the lower urinary tract.
In this symposium presented by Dr. Michael Kennelly and Dr. Andrei Krassioukov, they discuss a newly developed risk factors model for UTIs in this patient group. The model’s purpose is to provide an overview of the risk factors involved in UTIs, with particular emphasis on those that the clinician can handle and modify in daily practice, thus benefitting the individual IC user by lowering the risk of UTIs:

1. general (systemic) conditions in the patient with focus on bowel disorder.
2. individual urinary tract conditions in the patient.
3. user (patient) compliance/adherence to treatment.
4. factors related to intermittent catheters per se.

The symposium will be conducted as an interactive symposium with polls to guide the discussion.

Open access in: Advances in Urology, Volume 2019, Article ID 2757862, 13 pages, https://doi.org/10.1155/2019/2757862