Document Detail


Relation of postvoid residual to urinary tract infection during stroke rehabilitation.
MedLine Citation:
PMID:  13680576     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To examine (1) risk factors for urinary tract infection (UTI) during stroke rehabilitation and (2) the relation of postvoid residual (PVR) to the frequency of UTI. DESIGN: Prospective case series. SETTING: Academic specialty stroke rehabilitation service. PARTICIPANTS: One hundred one consecutive admissions for stroke rehabilitation. INTERVENTIONS: Not applicable. Main outcome measure Presence or absence of UTI. RESULTS: Previously undiagnosed UTI was found in 28 of 101 subjects. Two or more PVR determinations of 150mL or more were an independent risk factor for UTI. In multivariate analysis, factors associated with increased risk of UTI included only use of beta-blockers and 2 peak PVR determinations of 150mL or more. Single determinations were not significant. CONCLUSION: The optimal PVR for initiating bladder catheterization during stroke rehabilitation remains unknown, but the risk of UTI increases only when 2 or more ultrasound PVR readings are more than 150mL.
Authors:
Alexander W Dromerick; Dorothy F Edwards
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  84     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-09-18     Completed Date:  2003-10-23     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1369-72     Citation Subset:  AIM; IM    
Affiliation:
Division of Rehabilitation, Department of Neurology and Program in Occupational Therapy, Washington University, St Louis, MO 63108, USA. Dromericka@neuro.wustl.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Chi-Square Distribution
Female
Humans
Logistic Models
Male
Prospective Studies
Risk Factors
Stroke / complications*,  rehabilitation*
Urinary Bladder, Neurogenic / etiology*,  ultrasonography
Urinary Catheterization
Urinary Retention / etiology*,  ultrasonography
Urinary Tract Infections / etiology*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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