Urinary tract infection after stroke

Stott, D.J., Falconer, A., Miller, H., Tilston, J.C. and Langhorne, P. (2009) Urinary tract infection after stroke. QJM: An International Journal of Medicine, 102(4), pp. 243-249. (doi: 10.1093/qjmed/hcp012)

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Background: Urinary tract infection (UTI) is a recognized complication of stroke. We aimed to determine the incidence of UTI after acute stroke, the risk factors associated with this complication, and its association with outcome. Methods: Prospective study of consecutive acute stroke patients admitted to an urban teaching hospital. Routine clinical assessment included the modified National Institutes of Health Stroke Scale (mNIHSS) and modified Rankin scale (mRS). Patients were followed up for 3 months, including recording of clinician diagnosis of UTI. Results: We studied 412 patients; 65 (15.8) were diagnosed with UTI, at a median of 14 days (IQR 439) post-stroke. In a binomial multivariate regression analysis, UTI was associated with urinary catheterization (OR 3.03, 95 CI 1.416.52), higher mRS (OR 1.85, 1.292.64) and increasing age (OR 1.51, 1.132.00 for each decade). UTI was associated with death or disability at 3 months, however, this link was attenuated and became non-significant when measures of stroke severity and pre-stroke morbidity were included in a multivariate analysis. Conclusions: UTI is common after acute stroke. It is associated with urinary catheterization, post-stroke disability and increasing age. Avoidance of catheterization might reduce the incidence of this common complication.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Stott J, Professor David and Miller, Mrs Helen and Langhorne, Professor Peter
Authors: Stott, D.J., Falconer, A., Miller, H., Tilston, J.C., and Langhorne, P.
College/School:College of Medical Veterinary and Life Sciences
College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
Journal Name:QJM: An International Journal of Medicine
Publisher:Oxford University Press

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