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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Spinal cord injured | Experimental | Patients with neurogenic lower urinary tract infection (Spinal Cord Injury,MS,M. Parkinson) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| urodynamic examination | Procedure | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 3 days after urodynamic investigation |
| Measure | Description | Time Frame |
|---|---|---|
| Name and number of identified bacterial species | 30 minutes before examination | |
| Number of hospitalized and number of ambulatory patients with infection of the lower urinary tract | 3 days after examination |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Spinal Cord Injury Center & Research, University of Zürich, Balgrist University Hospital | Zurich | Canton of Zurich | 8008 | Switzerland |
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| ID | Term |
|---|---|
| D001750 | Urinary Bladder, Neurogenic |
| D014552 | Urinary Tract Infections |
| D013119 | Spinal Cord Injuries |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
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|
| 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 | 30 minutes before urodynamic investigation |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007239 | Infections |
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |