UTI-ASYMPTOMATIC

SUMMARY

1. Asymptomatic bacteriuria in SCI patients being managed with an indwelling catheter or IC is generally not treated.

2. In addition, the use of prophylactic antibiotics to prevent UTIs after SCI is generally not supported.

3. Vitamin C supplementation and methenamine salts can be used as acidifying agents.

4. Exceptions include patients undergoing invasive procedures (cystoscopy, urodynamics), presence of vesicoureteral reflux, or growth of urease producing organisms (Proteus, Pseudomonas, Klebsiella, Providentia, Escherichia coli, Staphylococcus epidermidis).

5. Urea splitting organisms produce struvite calculi made of ammonium and magnesium phosphate.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.