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Learn MoreUnfortunately, urinary tract infections (UTIs) can be all too common when you have a spinal cord injury. Here’s what you should know about how UTIs are diagnosed and treated, and what you can expect.
A urinary tract infection (UTI) occurs when bacteria enters the bladder and grows out of control. People with spinal cord injuries often use catheters to help them urinate, which can increase the risk for contracting this type of infection.
Why does a catheter potentially increase your chances of getting a UTI? Because a catheter may allow a direct path for bacteria to enter your bladder. A certain amount of bacteria lives in your bladder without causing issues. However, increases in bacteria to infectious levels can cause a UTI.
If you have a spinal cord injury and notice symptoms and signs of a UTI, it’s vital that you make an appointment with your healthcare provider as soon as possible. Left untreated, a UTI can have serious consequences. The infection can spread to the kidneys, causing permanent damage. It can also result in sepsis, a potentially life-threatening complication of an infection.
Diagnosing UTIs
First, your physician or their assistant will discuss the symptoms you’ve been experiencing. They will be looking for one or more of the common signs of a UTI. These may include (but are not limited to): fever, change in urinary urgency or frequency, incontinence/leakage, muscle spasms, fever, back pain, and cloudy or foul smelling urine.
Your doctor will likely run some tests to see if an infection is present, including a urine sample test to measure the amount of bacteria present in your urine.
Lab analysis of urine is sometimes followed by a urine culture, which can tell the doctor what bacteria is causing your infection and which medications will be most effective. If you have a urine culture greater than 10,000 colony-forming units of a urinary pathogen (a medical term for the amount of bacteria in your bladder), you may be diagnosed with a UTI.
Treating UTIs
Depending on the results of your urine sample and culture, and on whether you have any drug allergies, your healthcare team may prescribe antibiotics as the first line of treatment. Some commonly prescribed antibiotics include: fluoroquinolones (e.g., ciprofloxacin), trimethoprim, sulfamethoxazole, amoxicillin, nitrofurantoin, and ampicillin.
Some important things to know about UTI treatment:
Once your UTI has been treated successfully, your physician may tell you some ways to prevent future infections. These tips could include drinking plenty of water and following good hygiene habits when handling your catheter supplies.
Your bladder function may be impacted by a spinal cord injury. Learn about how you can avoid bladder accidents and issues.
Read MoreRead about how Shaun Gash, who was injured at a young age, overcame his doubts and insecurities to find love.
Read MoreKris has been experiencing urinary tract infections (UTIs) since his spinal cord injury in 2017. He started performing intermittent self-catheterization (ISC) following his injury, but wishes he'd bee...
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The information provided herein is not medical advice and is not intended to substitute for the advice of your personal physician or other healthcare provider. This information should not be used to seek help in a medical emergency. If you experience a medical emergency, seek medical treatment in person immediately.
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