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Hygiene and urinary tract infections after cystectomy in 452 Swedish survivors of bladder cancer.
Karolinska Institutet.
Karolinska Institutet, Division of Clinical Cancer Epidemiology, Department of Oncology, Sahlgrenska Academy, Göteborg.
Karolinska institutet. Dana Farber Cancer Institute, Boston, USA..ORCID iD: 0000-0002-8185-781X
Karolinska Institutet.
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2010 (English)In: BJU International, ISSN 1464-4096, E-ISSN 1464-410X, Vol. 105, no 8, 1107-1117 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To determine whether or not an improved hygiene can lessen the incidence of symptomatic urinary tract infections (UTIs) in patients treated by cystectomy for urinary bladder cancer.

PATIENTS AND METHODS: We attempted to contact during their follow-up all men and women aged 30-80 years who had undergone cystectomy and urinary diversion at seven Swedish hospitals. During a qualitative phase we identified hygienic measures and included them in a study-specific questionnaire. The patients completed the questionnaire at home. Outcome variables were dichotomized and the results presented as relative risks (RR) with 95% confidence interval.

RESULTS: We received the questionnaire from 452 (92%) of 491 identified patients. The proportion of patients who had a symptomatic UTI in the previous year was 22% for orthotopic neobladder and cutaneous continent reservoir, and 23% for non-continent urostomy diversion. The RR for a UTI was 1.1 (0.5-2.5) for 'never washing hands' before handling with catheters or ostomy material. Patients with diabetes mellitus had a RR of 2.1 (1.4-3.2) for having a symptomatic UTI.

CONCLUSIONS: We could not confirm lack of hygiene measures as a cause of UTI for men and women who had a cystectomy with urinary diversion. Patients with diabetes mellitus have a greater risk of contracting a UTI.

Place, publisher, year, edition, pages
2010. Vol. 105, no 8, 1107-1117 p.
Keyword [en]
Urinary tract infections, Hygiene, Cystectomy, Urinary diversion
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Other Medical Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:esh:diva-5118DOI: 10.1111/j.1464-410X.2009.08909.xPubMedID: 19863516OAI: oai:DiVA.org:esh-5118DiVA: diva2:909120
Available from: 2016-03-04 Created: 2016-03-04 Last updated: 2016-03-04Bibliographically approved

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CiteExportLink to record
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