A case report of three people experiencing intractable autonomic dysreflexia following instillation of Uro-Tainer ® Polyhexanide 0.02.
Louise C KellyJoanne V GlinskyLisa A HarveyPublished in: Spinal cord series and cases (2024)
Catheter-associated urinary tract infection is a significant cause of morbidity and mortality in people living with SCI. Long-term catheters provide a vector for opportunistic micro-organisms to form bio-film and create an environment that promotes formation of struvite calculi, thus increasing the risk of chronic catheter blockage and urinary tract infection. Whilst these solutions are used to reduce these risks, they also pose additional risks to people susceptible to AD. These cases highlight the need for judicious patient selection and clinical oversight and management of adverse events when using catheter rinse solutions in certain people living with SCI. This is supported by a decision-making algorithm and a response to AD algorithm. This case report was prepared following the CARE Guidelines (supplementary file 1).
Keyphrases
- urinary tract infection
- case report
- spinal cord injury
- decision making
- machine learning
- ultrasound guided
- deep learning
- human health
- healthcare
- palliative care
- heart rate
- heart rate variability
- room temperature
- neural network
- pain management
- gram negative
- multidrug resistant
- reduced graphene oxide
- affordable care act