SCI Model Systems Complicated Urinary Tract Infection (cUTI) Guidelines: International Consensus on cUTI Likelihood Based on Symptoms.
Complicated urinary tract infection (cUTI) is prevalent among people with spinal cord injury and disease (SCI/D). Diagnostic guidelines are neither consistent nor evidence based. To establish consensus around symptoms-based diagnostic and decision-making criteria for cUTI for SCI/D. A representative...
| Publicado en: | Topics in Spinal Cord Injury Rehabilitation Vol. 31; no. 3; pp. 101 - 121 |
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| Autores principales: | , , , |
| Formato: | algorithm questionnaire/scale research tables/charts Journal Article |
| Publicado: |
KnowledgeWorks Global, Ltd
Summer2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187499929&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187499929 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10820744 0OF jtl: Topics in Spinal Cord Injury Rehabilitation issn: 10820744 maglogo: N pubinfo: dt: Summer2025 vid: 31 iid: 3 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 187499929 187499929 187499929 10.46292/sci25-00019 187499929 ppf: 101 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: SCI Model Systems Complicated Urinary Tract Infection (cUTI) Guidelines: International Consensus on cUTI Likelihood Based on Symptoms. aug: au: Tractenberg, Rochelle E. Aguirre Guemez, Ana Valeria Petriello, Marla Groah, Suzanne L. affil: Collaborative for Research on Outcomes and -Metrics and Departments of Neurology, Rehabilitation Medicine, and Biostatistics, Bioinformatics & Biomathematics, Georgetown University Medical Center, Washington, DC sug: subj: Practice Guidelines Urinary Tract Infections Symptoms Spinal Cord Injuries Complications Models, Theoretical Consensus Urinary Tract Infections Diagnosis Decision Making, Clinical Diagnosis, Laboratory Human Funding Source Delphi Technique Bladder, Neurogenic Complications United States Interviews Questionnaires Urinary Catheterization, Intermittent Catheters Adverse Effects Survey Research Urinary Tract Infections, Catheter-Related Risk Factors Multimethod Studies Protocols Psychometrics Cognition Evaluation Task Performance and Analysis Biological Markers Urine Urinary Tract Infections Microbiology Thematic Analysis Attitude of Health Personnel Pyuria Diagnosis Antibiotics Therapeutic Use Prescriptions, Drug Urinalysis Bacteriuria Diagnosis Descriptive Statistics ab: Complicated urinary tract infection (cUTI) is prevalent among people with spinal cord injury and disease (SCI/D). Diagnostic guidelines are neither consistent nor evidence based. To establish consensus around symptoms-based diagnostic and decision-making criteria for cUTI for SCI/D. A representative sample of clinicians from PM&R, infectious disease, urology, and primary care within the United States (phase 1) and internationally (phase 2) participated in this study. Phase 1 involved focus groups and interviews to refine a decision-making paradigm for cUTI based on reliable and validated Urinary Symptom Questionnaires for Neurogenic Bladder (USQNBs: intermittent catheterization, indwelling catheterization, and voider versions). The phase 2 international Delphi survey on cUTI diagnostic criteria reflected phase 1 results. These criteria feature 6 "profiles": combinations of symptom number and types with associated likelihood of cUTI for each USQNB (18 total decisions). Analyses of the phase 1 transcripts (n = 32) led to the Delphi design. Across the United States and internationally, 24 responses were obtained on the complete Delphi, with 48 responses on the USQNB for intermittent catheterization only. We achieved the a priori target 80% consensus on 13 of 18 decisions. The remaining 5 decisions reached 62.2% to 77.8% agreement. Changes were made based on respondent suggestions to clarify decisions and slightly modify risk descriptors. One hundred percent consensus among subject matter experts from 9 collaborating SCI model systems centers was achieved for the revisions. This is the first international and empirical initiative to establish cUTI symptoms-based guidelines for cUTI in SCI/D. These guidelines provide a coherent and evidence-based approach to decision making based on symptoms for clinicians and patients. pubtype: Academic Journal doctype: algorithm questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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