URINARY TRACT INFECTIONS IN PATIENTS WITH NEUROGENIC BLADDER

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Abstract

Diagnosis, treatment and prophylactic of urinary tract infections (UTI) in neurogenic bladder patients is one of the most difficult problems of antimicrobial therapy in urology. There are no clear definition of symptomatic UTI in this group, leading to unreasonable use of antibiotics and microbial resistance. Infection resistance and recurrence associated with extensive catheters use and with other little known factors such as urodynamic dysfunction, detrusor over activity, vesicoureteral reflux, post-void residual urine, changes in microbiome, decreasing in local and general immunity. The prophylaxis of UTI in neurogenic low urinary tract dysfunction is primarily a question of a proper correction of urodynamic dysfunction and rational use of antimicrobial drugs.

About the authors

Ekaterina S. Filippova

Ural State Medical University; Sverdlovsk Regional Clinical Hospital №1

Email: filippova.cat@yandex.ru
канд. мед. наук, доц.

Igor V. Bazhenov

Ural State Medical University; Sverdlovsk Regional Clinical Hospital №1

д-р мед. наук, проф., проф. каф. урологии

Aleksandr V. Zyrianov

Ural State Medical University; Sverdlovsk Regional Clinical Hospital №1

д-р мед. наук, зав. каф. урологии

Igor V. Borzunov

Ural State Medical University

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