Sabrina L Stair, Jamie H Yoon, Kyle A Dymanus, Una J Lee, Sarah A Adelstein
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Our objective was to perform a hospital-centered, retrospective case-control analysis to assess the effect of FI on UTI development in ambulatory patients.</p><p><strong>Methods: </strong>Patients (n = 3035) with a diagnosis of FI were identified from a single institution and propensity score-matched with screening colonoscopy patients (n = 3035) from 2018 to 2021. Patients were matched on age, sex, race, ethnicity, body mass index, and comorbidities, for example, diabetes, vesicoureteral reflux, and urinary incontinence. The association between FI and UTI was tested using Pearson's χ<sup>2</sup> test.</p><p><strong>Results: </strong>Median age was 64 years with more females than males (73.81% vs. 71.20% female for case/control, p = 0.02). Patients with FI were more often to have concurrent urinary incontinence (18.62% vs. 10.25% for case/control, p < 0.001), as well as specifically urgency incontinence (13.28% vs. 11.57% for case/control, p = 0.04). There was no significant difference in the incidence of UTI between patients with FI and those presenting for screening colonoscopy (p = 0.44).</p><p><strong>Conclusion: </strong>FI was not associated with an increased number of UTIs. 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Healthy patients with recurrent UTI, especially women, often receive counseling, suggesting improper personal hygiene contributes to UTIs. This advice can be stigmatizing. Given UTI prevalence, it is important to elucidate risk factors for improved diagnosis, treatment, and patient education. Our objective was to perform a hospital-centered, retrospective case-control analysis to assess the effect of FI on UTI development in ambulatory patients.</p><p><strong>Methods: </strong>Patients (n = 3035) with a diagnosis of FI were identified from a single institution and propensity score-matched with screening colonoscopy patients (n = 3035) from 2018 to 2021. Patients were matched on age, sex, race, ethnicity, body mass index, and comorbidities, for example, diabetes, vesicoureteral reflux, and urinary incontinence. 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引用次数: 0
摘要
导言:尿路感染(UTI)是成人感染的主要原因。最常见的原因是胃肠道细菌经尿道进入膀胱。显示大便失禁 (FI) 是尿路感染风险因素的研究仅限于疗养院人群。复发性尿毒症的健康患者,尤其是女性患者,经常会接受一些建议,认为不正确的个人卫生会导致尿毒症。这种建议可能会让人感到耻辱。鉴于尿毒症的普遍性,阐明风险因素对于改善诊断、治疗和患者教育非常重要。我们的目的是进行一项以医院为中心的回顾性病例对照分析,以评估 FI 对非住院患者 UTI 发病的影响:从单一机构中确定诊断为 FI 的患者(n = 3035),并与 2018 年至 2021 年的结肠镜筛查患者(n = 3035)进行倾向评分匹配。患者的年龄、性别、种族、民族、体重指数和合并症(如糖尿病、膀胱输尿管反流和尿失禁)均匹配。用皮尔逊χ2检验了FI与UTI之间的关系:中位年龄为 64 岁,女性多于男性(病例/对照中女性占 73.81%,男性占 71.20%,P = 0.02)。患有 FI 的患者更常同时伴有尿失禁(病例/对照组为 18.62% 对 10.25%,P 结论:FI 与尿失禁次数增加无关:FI 与尿路感染次数增加无关。根据我们的研究结果,应重新评估目前对 FI 与尿毒症之间关系的鄙视观念。
Fecal incontinence is not associated with UTI: A contemporary case-control study.
Introduction: Urinary tract infections (UTIs) are a leading cause of infection in adults. The most common cause is gastrointestinal bacteria ascending the urethra into the bladder. Studies showing fecal incontinence (FI) is a risk factor for UTI have been limited to nursing home populations. Healthy patients with recurrent UTI, especially women, often receive counseling, suggesting improper personal hygiene contributes to UTIs. This advice can be stigmatizing. Given UTI prevalence, it is important to elucidate risk factors for improved diagnosis, treatment, and patient education. Our objective was to perform a hospital-centered, retrospective case-control analysis to assess the effect of FI on UTI development in ambulatory patients.
Methods: Patients (n = 3035) with a diagnosis of FI were identified from a single institution and propensity score-matched with screening colonoscopy patients (n = 3035) from 2018 to 2021. Patients were matched on age, sex, race, ethnicity, body mass index, and comorbidities, for example, diabetes, vesicoureteral reflux, and urinary incontinence. The association between FI and UTI was tested using Pearson's χ2 test.
Results: Median age was 64 years with more females than males (73.81% vs. 71.20% female for case/control, p = 0.02). Patients with FI were more often to have concurrent urinary incontinence (18.62% vs. 10.25% for case/control, p < 0.001), as well as specifically urgency incontinence (13.28% vs. 11.57% for case/control, p = 0.04). There was no significant difference in the incidence of UTI between patients with FI and those presenting for screening colonoscopy (p = 0.44).
Conclusion: FI was not associated with an increased number of UTIs. Based on our results, current stigmatizing beliefs regarding the association between FI and UTI should be reevaluated.
期刊介绍:
Neurourology and Urodynamics welcomes original scientific contributions from all parts of the world on topics related to urinary tract function, urinary and fecal continence and pelvic floor function.