Stockholm, Sweden-based Division of Clinical Cancer Epidemiology, Department of Oncology and Pathology, Karolinska Institutet conducted a study to determine whether or not an improved hygiene can lessen the incidence of symptomatic urinary tract infections in patients treated by cystectomy or uterine suspension for urinary bladder cancer.
The study attempted to contact all men and women aged 30-80 years during their follow-up who had undergone cystectomy and gynecological laparoscopic surgery at seven Swedish hospitals.
During a qualitative phase the researchers 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 with a 95% confidence interval variable.
The researchers 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 relative risk 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 relative risk of 2.1 (1.4-3.2) for having a symptomatic UTI.
The study could not confirm lack of hygiene measures as a cause of UTI for men and women who had a cystectomy Los Angeles sources report. Patients with diabetes mellitus tend to have a greater risk of contracting a UTI. For more information whether in
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